This log is also available as text (s24984.txt) and as a (binary) annotation file (s24984.log).
Generated: Monday, 07-Jun-2010 13:20:44 EDT
(All dates below are surrogates.)
t0: [08:09:07 07/09/2009] tf: [06:07:22 08/09/2009] id: a40127 [view]
t0: [22:39:59 06/09/2009] tf: [20:55:59 01/10/2009] id: a40127n [view]
dd: 25000 ds: 9 ld: DIABETES MELLITUS W/OUT dd: 2767 ds: 3 ld: HYPERPOTASSEMIA dd: 2767 ds: 4 ld: HYPERPOTASSEMIA dd: 2859 ds: 8 ld: ANEMIA NOS dd: 42731 ds: 6 ld: ATRIAL FIBRILLATION dd: 4821 ds: 2 ld: PSEUDOMONAL PNEUMONIA dd: 49322 ds: 3 ld: CHRONIC OBSTRUCTIVE ASTH dd: 49392 ds: 1 ld: ASTHMA, UNPSEC W ACUTE E dd: 51881 ds: 1 ld: RESPIRATORY FAILURE dd: 5849 ds: 2 ld: ACUTE RENAL FAILURE NOS dd: 5849 ds: 5 ld: ACUTE RENAL FAILURE NOS dd: 5960 ds: 7 ld: BLADDER NECK OBSTRUCTION
id: Propofol el: 100 cu: MICU-A cg: -1 io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
id: N/A el: 1 cu: MICU-A cg: -1 io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
tf: [14:58:00 01/10/2009] dt: 34949 cu: MICU-A di: Other Facility
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [08:30:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:30:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:30:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [08:30:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:30:00 07/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:30:00 07/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:30:00 07/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:30:00 07/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:30:00 07/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: Right Wrist v2: 18 gauge st: NotStopd t0: [08:30:00 07/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:30:00 07/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:30:00 07/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 79.3333 u1: mmHg st: NotStopd t0: [08:30:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:30:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:30:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:30:00 07/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:30:00 07/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 6 u1: points st: NotStopd t0: [08:30:00 07/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:30:00 07/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Brown st: NotStopd t0: [08:30:00 07/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:30:00 07/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:30:00 07/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:30:00 07/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [08:30:00 07/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 07/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:30:00 07/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:30:00 07/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:30:00 07/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:30:00 07/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [08:30:00 07/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [08:30:00 07/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 137 u1: kg st: NotStopd t0: [08:30:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 137 u1: kg st: NotStopd t0: [08:30:00 07/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:30:00 07/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:30:00 07/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [08:30:00 07/09/2009] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: 0 u1: kg st: NotStopd t0: [08:30:00 07/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 137 u1: kg st: NotStopd t0: [08:30:00 07/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [09:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [09:00:00 07/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 07/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 80.6667 u1: mmHg st: NotStopd t0: [09:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 137 u1: kg st: NotStopd t0: [09:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma el: 1 cu: MICU-A cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [08:30:00 07/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: Nod/Junc Escape st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd
t0: [08:30:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [08:30:00 07/09/2009] tf: [14:58:00 01/10/2009] dt: 34948 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 22.0195 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:30:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
id: Pre-Admission Intake el: 1 cu: MICU-A cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push
t0: [10:00:00 07/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [10:00:00 07/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [10:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [10:00:00 07/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 07/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 07/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [10:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [10:00:00 07/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 07/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [10:00:00 07/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 07/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 07/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 07/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 07/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 07/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [10:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 07/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 07/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 07/09/2009] tf: [17:00:00 11/09/2009] dt: 6300 id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: MICU-A cg: RN ai: 110 vo: 500 vu: ml t0: [10:00:00 07/09/2009] tf: [14:58:00 01/10/2009] dt: 34858 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 07/09/2009] tf: [13:00:00 12/09/2009] dt: 7380 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 26.32 vu: ml
t0: [10:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 22.0195 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:40:00 07/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [10:40:00 07/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [10:40:00 07/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [10:40:00 07/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [10:40:00 07/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd
t0: [08:35:00 07/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 17.1053 u1: ml/cmH st: NotStopd t0: [08:35:00 07/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [08:35:00 07/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:35:00 07/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [08:35:00 07/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:35:00 07/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.4 st: NotStopd t0: [08:35:00 07/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [08:35:00 07/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:35:00 07/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:35:00 07/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:35:00 07/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:35:00 07/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:35:00 07/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.26 u1: L/min st: NotStopd t0: [08:35:00 07/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:35:00 07/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [08:35:00 07/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 43 u1: cmH2O st: NotStopd t0: [08:35:00 07/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:35:00 07/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:35:00 07/09/2009] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [08:35:00 07/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:35:00 07/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:35:00 07/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:35:00 07/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:35:00 07/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [08:35:00 07/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [08:35:00 07/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [08:35:00 07/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV st: NotStopd t0: [08:35:00 07/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [08:35:00 07/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:35:00 07/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 07/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 07/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 07/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [11:00:00 07/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 07/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [11:00:00 07/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 07/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 07/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 07/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 07/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 07/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 18 gauge st: NotStopd t0: [11:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [11:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 07/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 416 rs: Manual st: NotStopd
t0: [09:00:00 07/09/2009] tf: [00:00:00 08/09/2009] dt: 900 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [09:00:00 07/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [11:00:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18.1 vu: ml t0: [11:00:00 07/09/2009] tf: [14:58:00 01/10/2009] dt: 34798 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 196 vu: ml
t0: [11:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25.01 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/09/2009] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 196 ap: none
t0: [09:30:00 07/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [10:30:00 07/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Hemodialysis st st: NotStopd t0: [12:00:00 07/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 07/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 07/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 07/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 07/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 07/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Brown st: NotStopd t0: [12:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [12:00:00 07/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 07/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 07/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 07/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 18 gauge st: NotStopd t0: [12:00:00 07/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 07/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 07/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 07/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 07/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [12:00:00 07/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 07/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 07/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 07/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 07/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 07/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 07/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 07/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [12:00:00 07/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [12:00:00 07/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [12:00:00 07/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20.5582 vu: ml t0: [12:00:00 07/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml
t0: [12:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25.01 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:31:00 07/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [12:31:00 07/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [12:31:00 07/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [12:31:00 07/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [12:31:00 07/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.26 rs: Final st: NotStopd
t0: [12:31:00 07/09/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [12:31:00 07/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 rs: Final st: NotStopd
t0: [13:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [13:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [13:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [13:00:00 07/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25.01 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 07/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.4138 u1: ml/cmH st: NotStopd t0: [14:00:00 07/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 07/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 07/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [14:00:00 07/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 07/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.4 st: NotStopd t0: [14:00:00 07/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [14:00:00 07/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 07/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [14:00:00 07/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [14:00:00 07/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [14:00:00 07/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [14:00:00 07/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [14:00:00 07/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [14:00:00 07/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.38 u1: L/min st: NotStopd t0: [14:00:00 07/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 07/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [14:00:00 07/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [14:00:00 07/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [14:00:00 07/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [14:00:00 07/09/2009] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [14:00:00 07/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:00:00 07/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:00:00 07/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:00:00 07/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 07/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [14:00:00 07/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 07/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [14:00:00 07/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [14:00:00 07/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [14:00:00 07/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [14:00:00 07/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [14:00:00 07/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [14:00:00 07/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:13:00 07/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [14:13:00 07/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [14:13:00 07/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [14:13:00 07/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [14:13:00 07/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.25 rs: Final st: NotStopd t0: [14:13:00 07/09/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd
t0: [15:00:00 07/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 07/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [14:00:00 07/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.9 u1: % rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: gm/dl rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 287 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.94 u1: /mic l rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.5 rs: Final st: NotStopd
t0: [14:00:00 07/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 22.6 rs: Final st: NotStopd
t0: [14:00:00 07/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 83.7 rs: Final st: NotStopd
t0: [13:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [16:00:00 07/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [16:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 07/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 07/09/2009] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [16:00:00 07/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 07/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 07/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [16:00:00 07/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 07/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [16:00:00 07/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 07/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [16:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [16:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 07/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 07/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 18 gauge st: NotStopd t0: [16:00:00 07/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 07/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 07/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 07/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 07/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 07/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 07/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [16:00:00 07/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [16:00:00 07/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 07/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 07/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 07/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 07/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 07/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 07/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 07/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 07/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [16:00:00 07/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [16:00:00 07/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 07/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 07/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 07/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 07/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [14:00:00 07/09/2009] tf: [14:58:00 01/10/2009] dt: 34618 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [16:00:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [16:00:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 82.2329 vu: ml t0: [16:00:00 07/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [16:00:00 07/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [16:00:00 07/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [16:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25.01 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [16:00:00 07/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 07/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.0 mm st: NotStopd t0: [16:00:00 07/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 07/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 07/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 07/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 9 u1: # st: NotStopd t0: [16:00:00 07/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd
t0: [16:07:00 07/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [16:07:00 07/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [16:07:00 07/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [16:07:00 07/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [16:07:00 07/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.28 rs: Final st: NotStopd
t0: [14:00:00 07/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 279 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.6 rs: Final st: NotStopd t0: [14:00:00 07/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [14:00:00 07/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd
t0: [16:30:00 07/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 282 rs: Manual st: NotStopd t0: [16:45:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:45:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:45:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:45:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:45:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [16:45:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:45:00 07/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:45:00 07/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:45:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:45:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 28.1022 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:40:00 07/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 17.5676 u1: ml/cmH st: NotStopd t0: [17:40:00 07/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:40:00 07/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:40:00 07/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [17:40:00 07/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:40:00 07/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.2 st: NotStopd t0: [17:40:00 07/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [17:40:00 07/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:40:00 07/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:40:00 07/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [17:40:00 07/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:40:00 07/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.9 u1: cmH2O st: NotStopd t0: [17:40:00 07/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [17:40:00 07/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:40:00 07/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 70 u1: L/m st: NotStopd t0: [17:40:00 07/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 42 u1: cmH2O st: NotStopd t0: [17:40:00 07/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27.2 u1: cmH2O st: NotStopd t0: [17:40:00 07/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [17:40:00 07/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [17:40:00 07/09/2009] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [17:40:00 07/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:40:00 07/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:40:00 07/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:40:00 07/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:40:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [17:40:00 07/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [17:40:00 07/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [17:40:00 07/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [17:40:00 07/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [17:40:00 07/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [17:40:00 07/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 07/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 07/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: RRT v1: 4 u1: cmH2O st: NotStopd t0: [17:00:00 07/09/2009] id: Total PEEP Level el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd
t0: [17:54:00 07/09/2009] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [17:54:00 07/09/2009] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 137 u1: kg t0: [17:54:00 07/09/2009] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [17:54:00 07/09/2009] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: COPD ASTHMA t0: [17:54:00 07/09/2009] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [17:54:00 07/09/2009] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [17:54:00 07/09/2009] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [17:54:00 07/09/2009] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: S t0: [17:54:00 07/09/2009] id: Religion el: 1000 cu: MICU-A cg: -1 v1: OTR t0: [17:54:00 07/09/2009] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [17:54:00 07/09/2009] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [17:54:00 07/09/2009] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [17:54:00 07/09/2009] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [17:30:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [17:30:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [17:30:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:30:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:30:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [17:30:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:30:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [17:30:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 32.7437 vu: ml
t0: [17:30:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30.4136 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 07/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [18:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [18:00:00 07/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 07/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:00:00 07/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [18:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 07/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml
t0: [18:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30.4136 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 07/09/2009] id: Digoxin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: ng rs: Final st: NotStopd
t0: [19:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [19:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [19:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [19:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 36.4963 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:45:00 07/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 23.3813 u1: ml/cmH st: NotStopd t0: [19:45:00 07/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [19:45:00 07/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [19:45:00 07/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [19:45:00 07/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [19:45:00 07/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.2 st: NotStopd t0: [19:45:00 07/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [19:45:00 07/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [19:45:00 07/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 2 u1: Deg. C st: NotStopd t0: [19:45:00 07/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [19:45:00 07/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [19:45:00 07/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [19:45:00 07/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [19:45:00 07/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [19:45:00 07/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9 u1: L/min st: NotStopd t0: [19:45:00 07/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:45:00 07/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 70 u1: L/m st: NotStopd t0: [19:45:00 07/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 37.8 u1: cmH2O st: NotStopd t0: [19:45:00 07/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 28.7 u1: cmH2O st: NotStopd t0: [19:45:00 07/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [19:45:00 07/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [19:45:00 07/09/2009] id: Remote Alarm el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [19:45:00 07/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 11 u1: BPM st: NotStopd t0: [19:45:00 07/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [19:45:00 07/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [19:45:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [19:45:00 07/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [19:45:00 07/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [19:45:00 07/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [19:45:00 07/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [19:45:00 07/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: SIMV+PS st: NotStopd t0: [19:45:00 07/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [19:45:00 07/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [19:45:00 07/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 07/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 07/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 07/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 07/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 07/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 5 st: NotStopd t0: [20:00:00 07/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Clear st: NotStopd t0: [20:00:00 07/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 07/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 07/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 18 gauge st: NotStopd t0: [20:00:00 07/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 07/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 07/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 07/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 07/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [20:00:00 07/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [20:00:00 07/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 07/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 07/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 07/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 07/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 07/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 07/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 07/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [20:00:00 07/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [20:00:00 07/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [20:00:00 07/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 07/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 315 rs: Manual st: NotStopd t0: [20:00:00 07/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 55 vu: ml nb: 1 t0: [20:00:00 07/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [20:00:00 07/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [20:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 42.5791 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none
t0: [20:29:00 07/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [20:29:00 07/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [20:29:00 07/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [20:29:00 07/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [20:29:00 07/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd
t0: [21:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [21:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [21:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 07/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [21:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/09/2009] tf: [14:58:00 01/10/2009] dt: 34198 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml
t0: [21:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 42.5791 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:30:00 07/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:30:00 07/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:30:00 07/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:30:00 07/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:30:00 07/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:30:00 07/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:30:00 07/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:30:00 07/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:30:00 07/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:30:00 07/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [20:15:00 07/09/2009] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 88 rs: Final st: NotStopd
t0: [22:00:00 07/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [22:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [22:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 07/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [22:00:00 07/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 07/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 07/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 07/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 07/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 07/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 07/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [22:00:00 07/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [22:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 42.5791 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 657.455 ap: none t0: [23:00:00 07/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1353.45 ap: none t0: [23:00:00 07/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 455 ap: none t0: [23:00:00 07/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 838.455 ap: none t0: [23:00:00 07/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 515 ap: none t0: [23:00:00 07/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 325 ap: none
t0: [23:30:00 07/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 284 rs: Manual st: NotStopd
t0: [23:00:00 07/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 07/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 07/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [23:00:00 07/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [23:00:00 07/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 07/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 07/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [23:00:00 07/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 07/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 08/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 08/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 08/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 08/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Other/Remarks st: NotStopd t0: [00:00:00 08/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 08/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Junctional st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 08/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 08/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 18 gauge st: NotStopd t0: [00:00:00 08/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 08/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 08/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 08/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 08/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 08/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [00:00:00 08/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 08/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 08/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 08/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 08/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 08/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [00:00:00 08/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [00:00:00 08/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 08/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [00:00:00 08/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml nb: 1 t0: [00:00:00 08/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [00:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 07/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 42.5791 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 42.5791 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 08/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 08/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 08/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1538.17 ap: none t0: [23:00:00 08/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1888.16 ap: none t0: [23:00:00 08/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2025 ap: none t0: [23:00:00 08/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -136.835 ap: carryForward t0: [23:00:00 08/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2025 ap: carryForward t0: [23:00:00 08/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -820 ap: carryForward
t0: [20:29:00 07/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.9 rs: Final st: NotStopd
t0: [00:50:00 08/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 23.8971 u1: ml/cmH st: NotStopd t0: [00:50:00 08/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:50:00 08/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:50:00 08/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:50:00 08/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.1 st: NotStopd t0: [00:50:00 08/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [00:50:00 08/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:50:00 08/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 2 u1: Deg. C st: NotStopd t0: [00:50:00 08/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [00:50:00 08/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:50:00 08/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [00:50:00 08/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.9 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.4 u1: L/min st: NotStopd t0: [00:50:00 08/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [00:50:00 08/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 37.2 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 25.1 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:50:00 08/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [00:50:00 08/09/2009] id: Remote Alarm el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:50:00 08/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:50:00 08/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:50:00 08/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:50:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [00:50:00 08/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [00:50:00 08/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [00:50:00 08/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [00:50:00 08/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [00:50:00 08/09/2009] id: Total PEEP Level el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [00:50:00 08/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: SIMV+PS st: NotStopd t0: [00:50:00 08/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [00:50:00 08/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:50:00 08/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [01:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [01:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 42.5791 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [02:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [02:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd
t0: [02:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [02:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [02:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 42.5791 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [02:30:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:30:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [02:30:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:30:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:30:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:30:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [02:30:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:30:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:30:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:30:00 08/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:30:00 08/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:45:00 08/09/2009] tf: [08:00:00 09/09/2009] dt: 1755 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml
t0: [23:00:00 08/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 200 ap: none
t0: [04:00:00 08/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd
t0: [03:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [03:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [03:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [03:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: Vent. Bigeminy st: NotStopd t0: [04:00:00 08/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 08/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 08/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 08/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Other/Remarks st: NotStopd t0: [04:00:00 08/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 08/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [04:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 08/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 08/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/09/2009] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 14 st: NotStopd t0: [04:00:00 08/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 08/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 18 gauge st: NotStopd t0: [04:00:00 08/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 08/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [04:00:00 08/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 08/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 08/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 08/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 08/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [04:00:00 08/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 137 u1: kg st: NotStopd t0: [04:00:00 08/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 08/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 08/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 08/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 08/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 08/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 08/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: -2.7 u1: kg st: NotStopd t0: [04:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [04:00:00 08/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 74.5 vu: ml t0: [04:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [03:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 08/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 329 rs: Manual st: NotStopd
t0: [04:15:00 08/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:15:00 08/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [04:15:00 08/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [04:15:00 08/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [04:15:00 08/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.23 rs: Final st: NotStopd t0: [04:15:00 08/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [04:15:00 08/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 94 u1: % rs: Final st: NotStopd
t0: [04:00:00 08/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.1 u1: % rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 259 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.89 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.4 rs: Final st: NotStopd t0: [04:15:00 08/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.331 u1: ml/dl st: NotStopd
t0: [05:00:00 08/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 19.1083 u1: ml/cmH st: NotStopd t0: [05:00:00 08/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 08/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 08/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [05:00:00 08/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.5 st: NotStopd t0: [05:00:00 08/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [05:00:00 08/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 08/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [05:00:00 08/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [05:00:00 08/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [05:00:00 08/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 10 v2: Albuterol st: NotStopd t0: [05:00:00 08/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [05:00:00 08/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 20.2 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.1 u1: L/min st: NotStopd t0: [05:00:00 08/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 70 u1: L/m st: NotStopd t0: [05:00:00 08/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 41.4 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 28.4 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [05:00:00 08/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 5 u1: . st: NotStopd t0: [05:00:00 08/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 v1: 4 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [05:00:00 08/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 08/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 08/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 08/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [05:00:00 08/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [05:00:00 08/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [05:00:00 08/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 08/09/2009] id: Total PEEP Level el: 0 cu: MICU-A cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: SIMV+PS st: NotStopd t0: [05:00:00 08/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [05:00:00 08/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [05:00:00 08/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [05:00:00 08/09/2009] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [05:00:00 08/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [05:00:00 08/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [05:00:00 08/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [04:00:00 08/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [23:00:00 08/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [04:00:00 08/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 24.4 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 95.8 rs: Final st: NotStopd
t0: [04:00:00 08/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 46 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 286 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [04:00:00 08/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [05:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [05:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [05:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:23:00 08/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:23:00 08/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:23:00 08/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [05:23:00 08/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [05:23:00 08/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [04:00:00 08/09/2009] id: Digoxin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 2 u1: ng rs: Final st: NotStopd
t0: [06:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [06:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [06:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [06:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [06:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [06:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 08/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 08/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 08/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 08/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 08/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 08/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [03:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml nb: 1 t0: [06:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml nb: 1
t0: [08:20:00 08/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 22.4138 u1: ml/cmH st: NotStopd t0: [08:20:00 08/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [08:20:00 08/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [08:20:00 08/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 55 u1: cmH2O st: NotStopd t0: [08:20:00 08/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 35 u1: BPM st: NotStopd t0: [08:20:00 08/09/2009] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.0 mm st: NotStopd t0: [08:20:00 08/09/2009] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [08:20:00 08/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT v1: 33 u1: Deg. C st: NotStopd t0: [08:20:00 08/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 8 v2: 13 st: NotStopd t0: [08:20:00 08/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 5 st: NotStopd t0: [08:20:00 08/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [08:20:00 08/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Albuterol st: NotStopd t0: [08:20:00 08/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Atrovent st: NotStopd t0: [08:20:00 08/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 17 u1: cmH2O st: NotStopd t0: [08:20:00 08/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 10.2 u1: L/min st: NotStopd t0: [08:20:00 08/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [08:20:00 08/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: CRT v1: 70 u1: L/m st: NotStopd t0: [08:20:00 08/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 39 u1: cmH2O st: NotStopd t0: [08:20:00 08/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 26 u1: cmH2O st: NotStopd t0: [08:20:00 08/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [08:20:00 08/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: CRT v1: 5 u1: . st: NotStopd t0: [08:20:00 08/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 0 u1: BPM st: NotStopd t0: [08:20:00 08/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 16 u1: BPM st: NotStopd t0: [08:20:00 08/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 16 u1: BPM st: NotStopd t0: [08:20:00 08/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [08:20:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 97 u1: % st: NotStopd t0: [08:20:00 08/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 640 u1: ml/B st: NotStopd t0: [08:20:00 08/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 650 u1: ml/B st: NotStopd t0: [08:20:00 08/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: SIMV+PS st: NotStopd t0: [08:20:00 08/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: CRT v1: 9 u1: # st: NotStopd t0: [08:20:00 08/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: 7200A st: NotStopd t0: [08:20:00 08/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [07:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [07:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [07:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [07:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [07:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 08/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 08/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 08/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 08/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 08/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Other/Remarks st: NotStopd t0: [08:00:00 08/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 08/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 08/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 08/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 08/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 08/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [08:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [08:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [08:00:00 08/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 08/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 08/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 08/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:00:00 08/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [08:00:00 08/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [08:00:00 08/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 08/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 08/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 08/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 08/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 08/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 08/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [08:30:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:30:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [08:30:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [08:30:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:30:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [08:30:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:30:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:30:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [08:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml t0: [08:30:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:30:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 19 vu: ml
t0: [07:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 08/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 339 rs: Manual st: NotStopd
t0: [09:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [09:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [09:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [09:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [09:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 22.605 vu: ml t0: [09:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [09:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [10:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [10:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [10:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [11:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [11:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [11:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [11:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [11:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [11:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90.42 vu: ml t0: [11:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:51:00 08/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 21.6667 u1: ml/cmH st: NotStopd t0: [11:51:00 08/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [11:51:00 08/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [11:51:00 08/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 55 u1: cmH2O st: NotStopd t0: [11:51:00 08/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 35 u1: BPM st: NotStopd t0: [11:51:00 08/09/2009] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.0 mm st: NotStopd t0: [11:51:00 08/09/2009] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [11:51:00 08/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT v1: 33 u1: Deg. C st: NotStopd t0: [11:51:00 08/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 8 v2: 13 st: NotStopd t0: [11:51:00 08/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 5 st: NotStopd t0: [11:51:00 08/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [11:51:00 08/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Albuterol st: NotStopd t0: [11:51:00 08/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Atrovent st: NotStopd t0: [11:51:00 08/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 16.4 u1: cmH2O st: NotStopd t0: [11:51:00 08/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 8.7 u1: L/min st: NotStopd t0: [11:51:00 08/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [11:51:00 08/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: CRT v1: 70 u1: L/m st: NotStopd t0: [11:51:00 08/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [11:51:00 08/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 26 u1: cmH2O st: NotStopd t0: [11:51:00 08/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [11:51:00 08/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: CRT v1: 5 u1: . st: NotStopd t0: [11:51:00 08/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 0 u1: BPM st: NotStopd t0: [11:51:00 08/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [11:51:00 08/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [11:51:00 08/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [11:51:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 98 u1: % st: NotStopd t0: [11:51:00 08/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 640 u1: ml/B st: NotStopd t0: [11:51:00 08/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 650 u1: ml/B st: NotStopd t0: [11:51:00 08/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: SIMV+PS st: NotStopd t0: [11:51:00 08/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: CRT v1: 9 u1: # st: NotStopd t0: [11:51:00 08/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: 7200A st: NotStopd t0: [11:51:00 08/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [11:30:00 08/09/2009] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 310 rs: Final st: NotStopd
t0: [12:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 08/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 08/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 08/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 08/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 08/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Other/Remarks st: NotStopd t0: [12:00:00 08/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 08/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [12:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 08/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 08/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 08/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 08/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [12:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [12:00:00 08/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 08/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 08/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 08/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 08/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 08/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 08/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [12:00:00 08/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 08/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 08/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 08/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 08/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 08/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 08/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 08/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [12:00:00 08/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45.21 vu: ml t0: [12:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [12:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 08/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 48 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 312 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 192 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd
io: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: Replete w/fiber el: 1 cu: MICU-A cg: RN io: Replete w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [13:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [13:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [13:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [13:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [13:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [13:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [13:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45.21 vu: ml t0: [13:00:00 08/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [13:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [13:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:05:00 08/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [13:05:00 08/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [13:05:00 08/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [13:05:00 08/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [13:05:00 08/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd
t0: [11:30:00 08/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 22.3 rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 34.7 rs: Final st: NotStopd
t0: [14:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [14:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [14:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [14:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [14:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45.21 vu: ml t0: [14:00:00 08/09/2009] tf: [06:00:00 10/09/2009] dt: 2400 id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [14:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 08/09/2009] id: D-Dimer (0-500) Coags el: 0 cu: MICU-A cg: 1663 v1: <500 rs: Final st: NotStopd
t0: [15:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [15:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 182 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [15:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45.21 vu: ml t0: [15:00:00 08/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [15:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:49:00 08/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [15:49:00 08/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [15:49:00 08/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 55 u1: cmH2O st: NotStopd t0: [15:49:00 08/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 35 u1: BPM st: NotStopd t0: [15:49:00 08/09/2009] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.0 mm st: NotStopd t0: [15:49:00 08/09/2009] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [15:49:00 08/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT v1: 33 u1: Deg. C st: NotStopd t0: [15:49:00 08/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 8 v2: 13 st: NotStopd t0: [15:49:00 08/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 5 st: NotStopd t0: [15:49:00 08/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [15:49:00 08/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Albuterol st: NotStopd t0: [15:49:00 08/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Atrovent st: NotStopd t0: [15:49:00 08/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 16.6 u1: cmH2O st: NotStopd t0: [15:49:00 08/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 8.3 u1: L/min st: NotStopd t0: [15:49:00 08/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [15:49:00 08/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [15:49:00 08/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: CRT v1: 15 u1: . st: NotStopd t0: [15:49:00 08/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [15:49:00 08/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [15:49:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 94 u1: % st: NotStopd t0: [15:49:00 08/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: CRT v1: 550 u1: ml/B st: NotStopd t0: [15:49:00 08/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: CPAP+PS st: NotStopd t0: [15:49:00 08/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: CRT v1: 9 u1: # st: NotStopd t0: [15:49:00 08/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: 7200A st: NotStopd
t0: [16:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 08/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [16:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 08/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 08/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 08/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 08/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 08/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 08/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 08/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 08/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [16:00:00 08/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 08/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 171 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [16:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [16:00:00 08/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 08/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 08/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 08/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [16:00:00 08/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [16:00:00 08/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [16:00:00 08/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [16:00:00 08/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 08/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 08/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 08/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 08/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [16:00:00 08/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [16:00:00 08/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 08/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45.21 vu: ml t0: [16:00:00 08/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [16:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 08/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: CRT v1: 20 u1: . st: NotStopd
t0: [17:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [17:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [17:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [17:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [17:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45.21 vu: ml t0: [17:00:00 08/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [17:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [17:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:03:00 08/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [17:03:00 08/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [17:03:00 08/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [17:03:00 08/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [17:03:00 08/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd
t0: [18:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [18:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [18:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [18:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 49.32 vu: ml t0: [18:00:00 08/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [18:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 08/09/2009] id: FIO2 Alarm-High el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/09/2009] id: FIO2 Alarm-Low el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/09/2009] id: Remote Alarm el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 08/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 08/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 08/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:00:00 08/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 08/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:00:00 08/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 08/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 08/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [20:00:00 08/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 08/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 08/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 08/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 08/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7 u1: L/min st: NotStopd t0: [20:00:00 08/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 08/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 08/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 16 u1: . st: NotStopd t0: [20:00:00 08/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 08/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 08/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 690 u1: ml/B st: NotStopd t0: [20:00:00 08/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 08/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:00:00 08/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 08/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [20:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 08/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 08/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 08/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 08/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 08/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 08/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 08/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 121 u1: BPM st: NotStopd t0: [20:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 08/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 08/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [20:00:00 08/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 08/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 08/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [20:00:00 08/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [20:00:00 08/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 6 u1: BPM st: NotStopd t0: [20:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 08/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [20:00:00 08/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 08/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 08/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Pink v2: Sediment st: NotStopd t0: [20:00:00 08/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 98.64 vu: ml t0: [20:00:00 08/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 08/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml
t0: [20:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 08/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 306 rs: Manual st: NotStopd
t0: [22:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [22:00:00 08/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [22:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 155 u1: BPM st: NotStopd t0: [22:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [22:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [22:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [22:00:00 08/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [22:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 08/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 08/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90.42 vu: ml t0: [22:00:00 08/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml
t0: [22:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 150 ap: none
t0: [22:14:00 08/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [22:14:00 08/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [22:14:00 08/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [22:14:00 08/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [22:14:00 08/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd t0: [22:14:00 08/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26 u1: % rs: Final st: NotStopd t0: [22:14:00 08/09/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd
t0: [23:00:00 08/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 126 u1: BPM st: NotStopd t0: [23:00:00 08/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [23:00:00 08/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 08/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [23:00:00 08/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 08/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 08/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 08/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:13:00 08/09/2009] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 48 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 283 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [22:13:00 08/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [22:13:00 08/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [11:30:00 08/09/2009] id: Digoxin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 1.7 u1: ng rs: Final st: NotStopd
t0: [00:00:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 09/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:00:00 09/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:00:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 09/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:00:00 09/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [00:00:00 09/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 09/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 09/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 09/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [00:00:00 09/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 09/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 09/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 16 u1: . st: NotStopd t0: [00:00:00 09/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [00:00:00 09/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Tenacious st: NotStopd t0: [00:00:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 09/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:00:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [23:00:00 08/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [00:00:00 09/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 187 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [00:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [00:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [00:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 09/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 09/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 09/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 300 rs: Manual st: NotStopd
t0: [00:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90.42 vu: ml t0: [00:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [00:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [00:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60.8273 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 09/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 550 cv: 550 ap: none t0: [23:00:00 09/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -180 cv: -180 ap: none t0: [23:00:00 09/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 290 cv: 2845.17 ap: none t0: [23:00:00 09/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 370 cv: 4199.17 ap: none t0: [23:00:00 09/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 80 cv: 890 ap: none t0: [23:00:00 09/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 550 cv: 3300 ap: none t0: [23:00:00 09/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -180 cv: 899.17 ap: none t0: [23:00:00 09/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 550 cv: 3300 ap: none t0: [23:00:00 09/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -430 cv: -2170 ap: carryForward
t0: [01:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [01:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [01:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [01:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [02:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [02:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [02:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [02:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [02:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [02:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [01:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60.8273 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60.8273 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:50:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [02:50:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [02:50:00 09/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [02:50:00 09/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [02:50:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [02:50:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [02:50:00 09/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [02:50:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [02:50:00 09/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [02:50:00 09/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [02:50:00 09/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [02:50:00 09/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [02:50:00 09/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [02:50:00 09/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:50:00 09/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [02:50:00 09/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 16 u1: . st: NotStopd t0: [02:50:00 09/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [02:50:00 09/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:50:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [02:50:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Tenacious st: NotStopd t0: [02:50:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [02:50:00 09/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [02:50:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [02:50:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [02:50:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:38:00 09/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:38:00 09/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [04:38:00 09/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 58 u1: mmHg rs: Final st: NotStopd t0: [04:38:00 09/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [04:38:00 09/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd
t0: [23:00:00 08/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 08/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 08/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 08/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 08/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 08/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 08/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 08/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 08/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 08/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [23:00:00 08/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [01:00:00 09/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 09/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 09/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 09/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 09/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 09/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 09/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 09/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [02:00:00 09/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [03:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [03:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [03:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [03:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [04:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 09/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 09/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 09/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 09/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 134 u1: BPM st: NotStopd t0: [04:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 09/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 09/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 09/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 09/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [04:00:00 09/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [04:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [04:00:00 09/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 09/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 09/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 09/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 09/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 09/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 09/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 09/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 09/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd
t0: [04:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 09/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [04:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [03:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60.8273 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:50:00 09/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.2 u1: % rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 264 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.91 u1: /mic l rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.4 rs: Final st: NotStopd
t0: [04:00:00 09/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 09/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 09/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 09/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 09/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 09/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 09/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [05:00:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 09/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [05:00:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 09/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:00:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [05:00:00 09/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [05:00:00 09/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [05:00:00 09/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [05:00:00 09/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 09/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [05:00:00 09/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 09/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [05:00:00 09/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [05:00:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [05:00:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:50:00 09/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 50 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 300 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 181 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 22.3 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 32.7 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [04:50:00 09/09/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd
t0: [06:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [06:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [06:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [06:00:00 09/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [06:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [06:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [06:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [08:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 09/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [08:00:00 09/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [08:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [08:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [08:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [08:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 09/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 09/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 09/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 09/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 09/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 09/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 09/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 09/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 09/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [08:00:00 09/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 09/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 09/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 09/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 09/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [08:00:00 09/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 09/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 09/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 09/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [08:00:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 09/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [08:00:00 09/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [08:00:00 09/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 09/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 09/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.92 u1: L/min st: NotStopd t0: [08:00:00 09/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 09/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [08:00:00 09/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 09/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Tenacious st: NotStopd t0: [08:00:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 09/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [08:00:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [11:30:00 08/09/2009] id: Ethanol Drug Level el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd t0: [11:30:00 08/09/2009] id: Tylenol Drug Level el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd
t0: [09:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [09:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 09/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 09/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [09:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 09/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [09:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [09:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 09/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 09/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [09:00:00 09/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 09/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 09/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml
t0: [23:00:00 09/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none
t0: [04:50:00 09/09/2009] id: D-Dimer (0-500) Coags el: 0 cu: MICU-A cg: 1663 v1: <500 rs: Final st: NotStopd
t0: [11:15:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:15:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [11:15:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:15:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:15:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [11:15:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:15:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:15:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:15:00 09/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:15:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:15:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [11:30:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:30:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [11:30:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:30:00 09/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [11:30:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:30:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:30:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:35:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:35:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [11:35:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [11:35:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [11:35:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:35:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:35:00 09/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [11:35:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:35:00 09/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:35:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:35:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:40:00 09/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:45:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:45:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:45:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:45:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [11:45:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:45:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:45:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:45:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:45:00 09/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:45:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:45:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:45:00 09/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:45:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:45:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 09/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [11:30:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [11:30:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 210 vu: ml t0: [11:30:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 130 vu: ml t0: [11:30:00 09/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [11:30:00 09/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [11:30:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [11:15:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:30:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:35:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:45:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Diltiazem el: 100 cu: MICU-A cg: RN io: D5W 125.0ml + 125mghr Diltiazem IV Infusions am: 125 du: mghr rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 125.0ml + 125mghr Diltiazem IV Infusions vo: 125 du: ml rt: Intravenous Push
t0: [11:00:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [11:00:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [11:00:00 09/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 48 u1: cmH2O st: NotStopd t0: [11:00:00 09/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [11:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [11:00:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Tenacious st: NotStopd t0: [11:00:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 09/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [11:00:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [11:00:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [11:00:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 09/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [12:00:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 09/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [12:00:00 09/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 09/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:00:00 09/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:00:00 09/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [12:00:00 09/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [12:00:00 09/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 09/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [12:00:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:00:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 09/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 09/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 09/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 09/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 09/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [12:00:00 09/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [12:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [12:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [12:00:00 09/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 09/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 09/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 09/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 09/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 09/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 09/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [12:00:00 09/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 09/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [12:00:00 09/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 09/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 09/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 09/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 09/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 09/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [12:00:00 09/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 09/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 09/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 09/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [12:15:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:15:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 142 u1: BPM st: NotStopd t0: [12:15:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:15:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:15:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:15:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [12:15:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:15:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:15:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:15:00 09/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 287 rs: Manual st: NotStopd
t0: [12:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 09/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [12:00:00 09/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [12:15:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [12:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 69.3431 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:15:00 09/09/2009] tf: [20:00:00 09/09/2009] dt: 465 id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:15:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 66.91 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 09/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 09/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [12:30:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:30:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:30:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:30:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:30:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:30:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [12:30:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:30:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:30:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:35:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:35:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [12:35:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:35:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:35:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [12:35:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:35:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [12:35:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:35:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:35:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:30:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 66.91 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:35:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:35:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 66.91 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [13:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [13:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [13:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [13:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:15:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:15:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:15:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:15:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [13:15:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:15:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:15:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [13:15:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:15:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [13:15:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:15:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:15:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 66.91 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:15:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:15:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 66.91 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:30:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [13:30:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:30:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [13:30:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [13:30:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:30:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [13:30:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:30:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 66.91 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [14:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [14:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [14:00:00 09/09/2009] tf: [00:00:00 10/09/2009] dt: 600 id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [14:00:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18.3333 vu: ml t0: [14:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 110.5 vu: ml t0: [14:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [14:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [14:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 70.5596 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:10:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:10:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [14:10:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:10:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:10:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:10:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [14:10:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:10:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:10:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:10:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:10:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [15:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [15:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [15:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 44 u1: BPM st: NotStopd t0: [15:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:30:00 09/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:30:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 09/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [15:30:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 09/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [15:30:00 09/09/2009] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [15:30:00 09/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [15:30:00 09/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [15:30:00 09/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [15:30:00 09/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 09/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [15:30:00 09/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 09/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [15:30:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 134 u1: BPM st: NotStopd t0: [15:30:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Dialysis Line v2: Right Femoral st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 09/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [15:30:00 09/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [15:30:00 09/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:30:00 09/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 09/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 09/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 09/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [15:30:00 09/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:30:00 09/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:30:00 09/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:30:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:30:00 09/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:30:00 09/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [15:30:00 09/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 09/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 09/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:30:00 09/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 09/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:30:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:30:00 09/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [15:30:00 09/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:30:00 09/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:30:00 09/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 09/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:30:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 09/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [15:30:00 09/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:30:00 09/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [15:30:00 09/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [15:30:00 09/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [15:30:00 09/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [15:30:00 09/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 09/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 09/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [15:30:00 09/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [15:30:00 09/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [15:30:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [15:30:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 22.5 vu: ml t0: [15:30:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 89.6667 vu: ml t0: [15:30:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [15:30:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [15:30:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:30:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:30:00 09/09/2009] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 186 vu: ml nb: 1
t0: [15:45:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:45:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [15:45:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:45:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:45:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:45:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:45:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [15:45:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:45:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:45:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:45:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [15:45:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3.75 vu: ml t0: [15:45:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [15:45:00 09/09/2009] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 218 vu: ml t0: [15:45:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml
t0: [15:45:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:45:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 72.9927 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 09/09/2009] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 404 ap: none
t0: [16:00:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 09/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [16:00:00 09/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [16:00:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 09/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [16:00:00 09/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [16:00:00 09/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 09/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 09/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:00:00 09/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [16:00:00 09/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.45 u1: L/min st: NotStopd t0: [16:00:00 09/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 09/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:00:00 09/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [16:00:00 09/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [16:00:00 09/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 09/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [16:00:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:00:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [16:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 142 u1: BPM st: NotStopd t0: [16:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [16:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [16:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 37 u1: BPM st: NotStopd t0: [16:00:00 09/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [16:30:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:30:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:30:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [16:30:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:30:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:30:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:30:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:27:00 09/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [16:27:00 09/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [16:27:00 09/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [16:27:00 09/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [16:27:00 09/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [17:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [17:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [17:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 137 u1: BPM st: NotStopd t0: [17:30:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:30:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [17:30:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [17:30:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:30:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [17:30:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:30:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:30:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:45:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [17:45:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:45:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:45:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [17:45:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:45:00 09/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [17:45:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [17:45:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:45:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [17:45:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:30:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:45:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 09/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd
id: Ativan el: 100 cu: MICU-A cg: RN io: D5W 200.0ml + 20mghr Ativan IV Infusions am: 20 du: mghr rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 200.0ml + 20mghr Ativan IV Infusions vo: 200 du: ml rt: Intravenous Push
t0: [17:45:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:45:00 09/09/2009] tf: [14:58:00 01/10/2009] dt: 31513 id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip
t0: [17:45:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [17:45:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [17:45:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 128.75 vu: ml t0: [17:45:00 09/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [17:45:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml
t0: [18:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [18:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [18:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [18:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 09/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip
t0: [18:00:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [18:00:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [18:00:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [18:00:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [18:30:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [18:30:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:30:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:30:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [18:30:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [18:30:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [18:30:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [18:30:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [18:30:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 48.75 vu: ml t0: [18:30:00 09/09/2009] tf: [14:58:00 01/10/2009] dt: 31468 id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [18:30:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [18:30:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [18:30:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:30:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 09/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip
t0: [18:34:00 09/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [18:34:00 09/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [18:34:00 09/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [18:34:00 09/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [18:34:00 09/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd
id: Amiodarone el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
t0: [19:00:00 09/09/2009] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 09/09/2009] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 09/09/2009] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 09/09/2009] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [20:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [20:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [20:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [20:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/09/2009] tf: [16:00:00 18/09/2009] dt: 12720 id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 09/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip
t0: [20:17:00 09/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:17:00 09/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:17:00 09/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:17:00 09/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:17:00 09/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:17:00 09/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:17:00 09/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [20:17:00 09/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:17:00 09/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [20:17:00 09/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:17:00 09/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:17:00 09/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:17:00 09/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.6 u1: cmH2O st: NotStopd t0: [20:17:00 09/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [20:17:00 09/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:17:00 09/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:17:00 09/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [20:17:00 09/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:17:00 09/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:17:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [20:17:00 09/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [20:17:00 09/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:17:00 09/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [20:17:00 09/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:17:00 09/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:17:00 09/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:15:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:15:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:15:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:15:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 129 u1: BPM st: NotStopd t0: [20:15:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:15:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:15:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:15:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:15:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [20:15:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:15:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:15:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:15:00 09/09/2009] tf: [14:58:00 01/10/2009] dt: 31363 id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:15:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:15:00 09/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip
t0: [21:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [21:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [21:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 09/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip
t0: [21:00:00 09/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 380 rs: Manual st: NotStopd
t0: [21:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 09/09/2009] tf: [14:58:00 01/10/2009] dt: 31318 id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 162.5 vu: ml t0: [21:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 100 vu: ml
id: Ativan el: 101 cu: MICU-A cg: RN io: D5W 200.0ml + 40mghr Ativan IV Infusions am: 40 du: mghr rt: IV Drip
io: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ra: 20 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 200.0ml + 40mghr Ativan IV Infusions vo: 200 du: ml rt: Intravenous Push
t0: [20:00:00 09/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 09/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 09/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 09/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 09/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 09/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 09/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 09/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 09/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 09/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 09/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 09/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 09/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 09/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 09/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 09/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 09/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 09/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 09/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Sediment st: NotStopd t0: [20:00:00 09/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [22:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [22:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [22:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 09/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [23:00:00 09/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 09/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 09/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 09/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [23:00:00 09/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 09/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 09/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 09/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [23:00:00 09/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [23:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [23:00:00 09/09/2009] id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [23:00:00 09/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [23:00:00 09/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 130 vu: ml t0: [23:00:00 09/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [23:00:00 09/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 550 vu: ml
t0: [22:00:00 09/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 09/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 09/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 09/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 79.0754 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 09/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 200 su: ml rt: IV Drip
t0: [23:00:00 10/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -3720 ap: carryForward
t0: [23:00:00 09/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 09/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [23:00:00 09/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 09/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 09/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [23:00:00 09/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 09/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd
t0: [00:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [00:13:00 10/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:13:00 10/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:13:00 10/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:13:00 10/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:13:00 10/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:13:00 10/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:13:00 10/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [00:13:00 10/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:13:00 10/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [00:13:00 10/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:13:00 10/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:13:00 10/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:13:00 10/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: cmH2O st: NotStopd t0: [00:13:00 10/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.9 u1: L/min st: NotStopd t0: [00:13:00 10/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:13:00 10/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:13:00 10/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [00:13:00 10/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:13:00 10/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:13:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:13:00 10/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [00:13:00 10/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:13:00 10/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [00:13:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:13:00 10/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:13:00 10/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [00:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [00:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip st: Stopped t0: [21:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 09/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip
t0: [00:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd
t0: [00:00:00 10/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [00:00:00 10/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [00:00:00 10/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.2 u1: Deg. F st: NotStopd
t0: [01:30:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:30:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [01:30:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:30:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:30:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:30:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:30:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:30:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [01:30:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:30:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:30:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 10/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 307 rs: Manual st: NotStopd
t0: [01:30:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:30:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip
t0: [04:11:00 10/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:11:00 10/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:11:00 10/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [04:11:00 10/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:11:00 10/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:11:00 10/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:11:00 10/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37.1 u1: Deg. C st: NotStopd t0: [04:11:00 10/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [04:11:00 10/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [04:11:00 10/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:11:00 10/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:11:00 10/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:11:00 10/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.1 u1: cmH2O st: NotStopd t0: [04:11:00 10/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.89 u1: L/min st: NotStopd t0: [04:11:00 10/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:11:00 10/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [04:11:00 10/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [04:11:00 10/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:11:00 10/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:11:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [04:11:00 10/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:11:00 10/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [04:11:00 10/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [04:11:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:11:00 10/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:11:00 10/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:04:00 10/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [04:04:00 10/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [04:04:00 10/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [04:04:00 10/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [04:04:00 10/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.26 rs: Final st: NotStopd t0: [04:04:00 10/09/2009] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.14 rs: Final st: NotStopd
t0: [04:00:00 10/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.7 u1: % rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 275 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.93 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd
t0: [04:28:00 10/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:28:00 10/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:28:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [04:28:00 10/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 10/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 26.4 rs: Final st: NotStopd
t0: [04:00:00 10/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 44 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 325 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd
t0: [04:00:00 10/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [05:00:00 10/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd
t0: [02:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [02:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [02:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [03:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [03:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [03:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [04:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [04:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 37 u1: BPM st: NotStopd t0: [04:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 148 u1: BPM st: NotStopd t0: [05:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [05:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [05:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [05:00:00 10/09/2009] tf: [18:00:00 18/09/2009] dt: 12300 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 0 vu: ml nb: 1 t0: [01:00:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [01:00:00 10/09/2009] id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [01:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 110 vu: ml t0: [01:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [03:00:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [03:00:00 10/09/2009] id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [03:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [03:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [04:00:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 10/09/2009] id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [04:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [04:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [05:00:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 10/09/2009] id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [05:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [05:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 225 vu: ml t0: [05:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml
t0: [05:00:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [06:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 118 u1: BPM st: NotStopd t0: [06:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [06:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 10/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [06:00:00 10/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [06:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml st: Stopped
t0: [06:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [06:16:00 10/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [06:16:00 10/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [06:16:00 10/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [06:16:00 10/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [06:16:00 10/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [06:16:00 10/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 356 rs: Final st: NotStopd
t0: [08:00:00 10/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 18.4136 u1: ml/cmH st: NotStopd t0: [08:00:00 10/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 10/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 10/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 10/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.5 st: NotStopd t0: [08:00:00 10/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:00:00 10/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 10/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 10/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 10/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4.5 st: NotStopd t0: [08:00:00 10/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.4 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.82 u1: L/min st: NotStopd t0: [08:00:00 10/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10.7 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [08:00:00 10/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 46 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [08:00:00 10/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 10/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 10/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 10/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 10/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Tenacious st: NotStopd t0: [08:00:00 10/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 10/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [08:00:00 10/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 10/09/2009] id: Total PEEP Level el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: SIMV+PS st: NotStopd t0: [08:00:00 10/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:00:00 10/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 10/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 10/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 10/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd
t0: [08:00:00 10/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [08:30:00 10/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:30:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 10/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:30:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:30:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:30:00 10/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:30:00 10/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:30:00 10/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [08:30:00 10/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:30:00 10/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent st: NotStopd t0: [08:30:00 10/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:30:00 10/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:30:00 10/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [08:30:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:30:00 10/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:30:00 10/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:30:00 10/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [08:30:00 10/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 10/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:30:00 10/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:30:00 10/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:30:00 10/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:30:00 10/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 10/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:30:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:30:00 10/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:30:00 10/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:30:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [08:30:00 10/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [08:30:00 10/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:30:00 10/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:30:00 10/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:30:00 10/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:30:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:30:00 10/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:30:00 10/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:30:00 10/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:30:00 10/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:30:00 10/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:30:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 10/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:30:00 10/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:30:00 10/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [08:30:00 10/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [08:30:00 10/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:30:00 10/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:30:00 10/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:30:00 10/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:30:00 10/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:30:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 10/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:30:00 10/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:30:00 10/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [08:30:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [08:30:00 10/09/2009] id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [08:30:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 157.5 vu: ml t0: [08:30:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 43.75 vu: ml t0: [08:30:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [08:30:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [09:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [09:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [09:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [09:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 168 u1: BPM st: NotStopd t0: [09:30:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:30:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:30:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:30:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:30:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [09:30:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:30:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:30:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:30:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:30:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [09:45:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:45:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 155 u1: BPM st: NotStopd t0: [09:45:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:45:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:45:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:45:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [09:45:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:45:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:45:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:45:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [09:45:00 10/09/2009] id: D5W 200.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [09:45:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 56.25 vu: ml t0: [09:45:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 15.625 vu: ml t0: [09:45:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [09:45:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:45:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [10:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 168 u1: BPM st: NotStopd t0: [10:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [10:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [11:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [11:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [11:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [11:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [11:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [11:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 56.25 vu: ml t0: [11:00:00 10/09/2009] tf: [07:00:00 26/09/2009] dt: 22800 id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [11:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 15.625 vu: ml
t0: [11:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [11:15:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:15:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 152 u1: BPM st: NotStopd t0: [11:15:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:15:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:15:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:15:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:15:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:15:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:15:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:15:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:15:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:15:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [11:30:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [11:30:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:30:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:30:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [11:30:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:30:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:30:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:30:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:30:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [11:30:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 10/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 10/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [12:00:00 10/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 161 u1: BPM st: NotStopd t0: [12:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 10/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 10/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 10/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 10/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 10/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [12:00:00 10/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 10/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 10/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 10/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 10/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 10/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 10/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 10/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 10/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 10/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [12:00:00 10/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [12:00:00 10/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 10/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/09/2009] tf: [20:30:00 13/09/2009] dt: 4830 id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 16.25 vu: ml t0: [12:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [12:00:00 10/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [12:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
t0: [12:00:00 10/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 330 rs: Manual st: NotStopd
t0: [12:00:00 10/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 24.9042 u1: ml/cmH st: NotStopd t0: [12:00:00 10/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 10/09/2009] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 10/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 10/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.5 st: NotStopd t0: [12:00:00 10/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [12:00:00 10/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 10/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 10/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [12:00:00 10/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4.5 st: NotStopd t0: [12:00:00 10/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 10/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [12:00:00 10/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.5 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.18 u1: L/min st: NotStopd t0: [12:00:00 10/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:00:00 10/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 36.1 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.4 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 10/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [12:00:00 10/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 10/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 10/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 10/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 10/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 10/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [12:00:00 10/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 10/09/2009] id: Total PEEP Level el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 10/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:00:00 10/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 10/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [04:00:00 10/09/2009] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.8 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.9 rs: Final st: NotStopd t0: [04:00:00 10/09/2009] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 74.9 rs: Final st: NotStopd
t0: [13:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 166 u1: BPM st: NotStopd t0: [13:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [13:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip
id: Heparin el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip id: Insulin el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [14:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [14:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [14:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [14:00:00 10/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [14:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [14:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 90 vu: ml t0: [14:00:00 10/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [14:00:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 550 vu: ml
t0: [14:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 54.7445 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 10/09/2009] tf: [04:00:00 22/09/2009] dt: 16680 id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
id: Ativan el: 202 cu: MICU-A cg: RN io: D5W 200.0ml + 20mghr Ativan IV Infusions am: 20 du: mghr rt: IV Drip
io: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ra: 20 ru: ml/hr
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 200.0ml + 20mghr Ativan IV Infusions vo: 200 du: ml rt: Intravenous Push
t0: [15:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 153 u1: BPM st: NotStopd t0: [15:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [15:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 48.6618 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 10/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 10/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 5 u1: points st: NotStopd t0: [16:00:00 10/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 10/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:00:00 10/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 10/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 10/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [16:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 10/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 10/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [16:00:00 10/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 10/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 10/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 3 Abnorm flexion st: NotStopd t0: [16:00:00 10/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 10/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 10/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 10/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [16:00:00 10/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 10/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 10/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 10/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 10/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 10/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 10/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 10/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 10/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 10/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [16:00:00 10/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 10/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 10/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 10/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 10/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [15:00:00 10/09/2009] tf: [04:00:00 22/09/2009] dt: 16620 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [15:00:00 10/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 10/09/2009] tf: [05:00:00 11/09/2009] dt: 780 id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [16:00:00 10/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 10/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [16:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 10/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [16:00:00 10/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [16:00:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [16:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 48.6618 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [16:20:00 10/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26 u1: ml/cmH st: NotStopd t0: [16:20:00 10/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:20:00 10/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:20:00 10/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:20:00 10/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1;2.5 st: NotStopd t0: [16:20:00 10/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [16:20:00 10/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:20:00 10/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [16:20:00 10/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [16:20:00 10/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [16:20:00 10/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:20:00 10/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:20:00 10/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.3 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.72 u1: L/min st: NotStopd t0: [16:20:00 10/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [16:20:00 10/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:20:00 10/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [16:20:00 10/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:20:00 10/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:20:00 10/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:20:00 10/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [16:20:00 10/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [16:20:00 10/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [16:20:00 10/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [16:20:00 10/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [16:20:00 10/09/2009] id: Total PEEP Level el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:20:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [16:20:00 10/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:20:00 10/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:20:00 10/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 10/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 354 rs: Manual st: NotStopd
t0: [16:00:00 10/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [16:00:00 10/09/2009] tf: [14:30:00 20/09/2009] dt: 14310 id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 10/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 10/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 10/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [17:00:00 10/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 10/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [17:00:00 10/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 10/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [17:00:00 10/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [17:00:00 10/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [17:00:00 10/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 10/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.2 u1: cmH2O st: NotStopd t0: [17:00:00 10/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.78 u1: L/min st: NotStopd t0: [17:00:00 10/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 10/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [17:00:00 10/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:00:00 10/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [17:00:00 10/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [17:00:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 10/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [17:00:00 10/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [18:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [18:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [18:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [18:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 336 rs: Manual st: NotStopd
t0: [18:00:00 10/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [18:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [18:00:00 10/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [18:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [18:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 10/09/2009] tf: [10:00:00 20/09/2009] dt: 13920 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [18:00:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [18:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 10/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:02:00 10/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [18:02:00 10/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [18:02:00 10/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [18:02:00 10/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [18:02:00 10/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [20:30:00 10/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:30:00 10/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:30:00 10/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:30:00 10/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:30:00 10/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:30:00 10/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 10/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36.7 u1: Deg. C st: NotStopd t0: [20:30:00 10/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:30:00 10/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [20:30:00 10/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:30:00 10/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:30:00 10/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:30:00 10/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.2 u1: cmH2O st: NotStopd t0: [20:30:00 10/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.22 u1: L/min st: NotStopd t0: [20:30:00 10/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:30:00 10/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:30:00 10/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [20:30:00 10/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:30:00 10/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:30:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [20:30:00 10/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [20:30:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:30:00 10/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:30:00 10/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:30:00 10/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:45:00 10/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:45:00 10/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:45:00 10/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd
t0: [19:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [19:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [19:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [19:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [19:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 10/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 10/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [20:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 10/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 10/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 10/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 10/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 10/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 10/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 10/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 10/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 16 st: NotStopd t0: [20:00:00 10/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 10/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [20:00:00 10/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 10/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [20:00:00 10/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [20:00:00 10/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 296 rs: Manual st: NotStopd t0: [20:00:00 10/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 10/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 10/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [20:00:00 10/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [20:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 10/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [20:00:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [19:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [19:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [19:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [21:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [21:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 146 u1: BPM st: NotStopd t0: [22:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [22:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 291 rs: Manual st: NotStopd
t0: [22:00:00 10/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 10/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 10/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [22:00:00 10/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 10/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [22:00:00 10/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 10/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [22:00:00 10/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [21:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 10/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2592.25 ap: none t0: [23:00:00 10/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2942.25 ap: none t0: [23:00:00 10/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 350 ap: none t0: [23:00:00 10/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2300 ap: none t0: [23:00:00 10/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 642.25 ap: none t0: [23:00:00 10/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2300 ap: none
t0: [21:30:00 10/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd
t0: [21:30:00 10/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 37.5 rs: Final st: NotStopd
t0: [22:00:00 10/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 10/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [23:00:00 10/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [23:00:00 10/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 10/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 10/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [23:00:00 10/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 10/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 10/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 10/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 10/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 10/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 10/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 142 u1: BPM st: NotStopd t0: [00:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [00:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 11/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 11/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [00:00:00 11/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [00:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 214 rs: Manual st: NotStopd
t0: [00:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25.5 vu: ml t0: [00:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [00:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [00:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [00:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [00:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2863.08 ap: none t0: [23:00:00 11/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2175 ap: none t0: [23:00:00 11/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2175 ap: none
t0: [00:35:00 11/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.3816 u1: ml/cmH st: NotStopd t0: [00:35:00 11/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:35:00 11/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:35:00 11/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:35:00 11/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:35:00 11/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [00:35:00 11/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:35:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:35:00 11/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [00:35:00 11/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:35:00 11/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [00:35:00 11/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:35:00 11/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:35:00 11/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:35:00 11/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:35:00 11/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [00:35:00 11/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:35:00 11/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:35:00 11/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40.4 u1: cmH2O st: NotStopd t0: [00:35:00 11/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22.4 u1: cmH2O st: NotStopd t0: [00:35:00 11/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:35:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [00:35:00 11/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:35:00 11/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:35:00 11/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:35:00 11/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:35:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:35:00 11/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [00:35:00 11/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:35:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [00:35:00 11/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:35:00 11/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:35:00 11/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:43:00 11/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [00:43:00 11/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 38 rs: Final st: NotStopd t0: [00:43:00 11/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [00:43:00 11/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [00:43:00 11/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [00:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vu: ml
t0: [01:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 142 u1: BPM st: NotStopd t0: [01:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [01:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [01:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 142 u1: BPM st: NotStopd t0: [02:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [02:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [03:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [03:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 11/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [03:00:00 11/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 11/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 187 rs: Manual st: NotStopd
t0: [03:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 46.5 vu: ml t0: [03:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [03:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 114 vu: ml t0: [03:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [03:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 75 vu: ml t0: [03:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [03:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [03:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [01:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:36:00 11/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.971 u1: ml/cmH st: NotStopd t0: [04:36:00 11/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:36:00 11/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:36:00 11/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [04:36:00 11/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:36:00 11/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [04:36:00 11/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:36:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:36:00 11/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [04:36:00 11/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [04:36:00 11/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [04:36:00 11/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:36:00 11/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:36:00 11/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:36:00 11/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [04:36:00 11/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [04:36:00 11/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:36:00 11/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:36:00 11/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34.1 u1: cmH2O st: NotStopd t0: [04:36:00 11/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.5 u1: cmH2O st: NotStopd t0: [04:36:00 11/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:36:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [04:36:00 11/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:36:00 11/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:36:00 11/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:36:00 11/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:36:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [04:36:00 11/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [04:36:00 11/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:36:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [04:36:00 11/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:36:00 11/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:36:00 11/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [04:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [04:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [04:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 148 u1: BPM st: NotStopd t0: [05:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [05:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [05:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 151 rs: Manual st: NotStopd
t0: [05:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 31 vu: ml t0: [05:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [05:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [05:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [05:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml
t0: [04:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 09/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 134.3 u1: kg st: NotStopd t0: [08:00:00 09/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [08:00:00 09/09/2009] id: Weight Change el: 0 cu: MICU-A cg: 1663 v1: -1.3 u1: kg st: NotStopd t0: [08:00:00 09/09/2009] id: calprevflg el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [12:35:00 09/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 133 u1: kg st: NotStopd t0: [02:00:00 11/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 133 u1: kg st: NotStopd t0: [03:00:00 11/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 133 u1: kg st: NotStopd t0: [05:00:00 11/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 133 u1: kg st: NotStopd t0: [05:28:00 11/09/2009] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.7 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.3 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 77.9 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.4 u1: % rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 301 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.06 u1: /mic l rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.5 rs: Final st: NotStopd
t0: [05:28:00 11/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 101.9 rs: Final st: NotStopd
t0: [05:28:00 11/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 160 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd
t0: [06:45:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [06:45:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [06:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [06:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [06:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 11/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 11/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [06:00:00 11/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [06:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [07:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [07:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [07:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [07:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 31 vu: ml t0: [07:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [07:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [07:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [07:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [07:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [07:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [07:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml
t0: [06:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [07:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [07:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:28:00 11/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [05:28:00 11/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [00:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:42:00 11/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.4275 u1: ml/dl st: NotStopd t0: [07:42:00 11/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [07:42:00 11/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [07:42:00 11/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [07:42:00 11/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [07:42:00 11/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [07:42:00 11/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 172 rs: Final st: NotStopd t0: [07:42:00 11/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [08:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 142 u1: BPM st: NotStopd t0: [08:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [08:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [08:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [08:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [08:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [08:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33 vu: ml t0: [08:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [08:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [08:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [08:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [08:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [08:45:00 11/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:45:00 11/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:45:00 11/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:45:00 11/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:45:00 11/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [08:45:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:45:00 11/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:45:00 11/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [08:45:00 11/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [08:45:00 11/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:45:00 11/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [08:45:00 11/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [08:45:00 11/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [08:45:00 11/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:45:00 11/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:45:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [08:45:00 11/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:45:00 11/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:45:00 11/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:45:00 11/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:45:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [08:45:00 11/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [08:45:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:45:00 11/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [08:45:00 11/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [09:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 130 u1: BPM st: NotStopd t0: [09:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [09:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [09:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [09:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33 vu: ml t0: [09:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [09:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [09:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [09:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [09:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [08:00:00 11/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 11/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [10:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [10:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 11/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 11/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [10:00:00 11/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [10:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [10:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33 vu: ml t0: [10:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [10:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [10:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [10:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [10:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [10:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [10:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 11/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 11/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [11:49:00 11/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.922 u1: ml/dl st: NotStopd t0: [11:49:00 11/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [11:49:00 11/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [11:49:00 11/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [11:49:00 11/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [11:49:00 11/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [11:49:00 11/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [11:49:00 11/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 96 u1: % rs: Final st: NotStopd
t0: [12:10:00 11/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:10:00 11/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:10:00 11/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:10:00 11/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:10:00 11/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [12:10:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:10:00 11/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:10:00 11/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [12:10:00 11/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [12:10:00 11/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:10:00 11/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:10:00 11/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:10:00 11/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [12:10:00 11/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:10:00 11/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:10:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [12:10:00 11/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:10:00 11/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [12:10:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [12:10:00 11/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [12:10:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:10:00 11/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:10:00 11/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [11:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [11:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [12:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [12:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 11/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 11/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 11/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 11/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 11/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 11/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 11/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 11/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 11/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 11/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 11/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 11/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 11/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 11/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 11/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 11/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [12:00:00 11/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 11/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 11/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Discoordinate st: NotStopd t0: [12:00:00 11/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 11/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 11/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 11/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 11/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [10:00:00 11/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/09/2009] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 11/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 11/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [08:00:00 11/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 11/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 11/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 11/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 11/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 11/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [12:00:00 11/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 11/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [12:00:00 11/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [12:00:00 11/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd
t0: [13:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [13:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [11:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33 vu: ml t0: [11:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [11:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [11:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [11:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [11:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [13:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40.146 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [12:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33 vu: ml t0: [12:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [12:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [12:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [12:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [13:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [13:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [13:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33 vu: ml t0: [13:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [13:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [13:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [13:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [13:52:00 11/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.922 u1: ml/dl st: NotStopd t0: [13:52:00 11/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [13:52:00 11/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [13:52:00 11/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [13:52:00 11/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [13:52:00 11/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [13:52:00 11/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 96 u1: % rs: Final st: NotStopd
t0: [12:00:00 11/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 11/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [14:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 38 vu: ml t0: [14:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [14:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [14:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [14:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [14:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 11/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 11/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 11/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 11/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 11/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 16 st: NotStopd t0: [08:00:00 11/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 11/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd
t0: [12:00:00 11/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 84.7 rs: Final st: NotStopd
t0: [14:00:00 11/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 11/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [14:00:00 11/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [15:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [15:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [15:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 38 vu: ml t0: [15:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [15:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [15:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [15:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [15:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:20:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [15:20:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:20:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:20:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:20:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 137 u1: BPM st: NotStopd t0: [15:20:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:20:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:20:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:20:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:20:00 11/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [15:20:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:20:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:20:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:20:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:20:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:20:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:20:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:20:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:08:00 11/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [14:08:00 11/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [14:08:00 11/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [14:08:00 11/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [14:08:00 11/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [14:08:00 11/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [14:08:00 11/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [15:30:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [15:30:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:30:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:30:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:30:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:30:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 142 rs: Manual st: NotStopd
t0: [15:30:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.5 vu: ml t0: [15:30:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:30:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 19 vu: ml t0: [15:30:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [15:30:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 8.33333 vu: ml t0: [15:30:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [15:30:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml
t0: [15:30:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:30:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:30:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:30:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 11/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 11/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 11/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 11/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [16:00:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 11/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 11/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [16:00:00 11/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [16:00:00 11/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 11/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:00:00 11/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [16:00:00 11/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:00:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 11/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:00:00 11/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [16:00:00 11/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [16:00:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 11/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:00:00 11/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [16:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 132 u1: BPM st: NotStopd t0: [16:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [16:30:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:30:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:30:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:30:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:30:00 11/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:30:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.5 vu: ml t0: [16:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 19 vu: ml t0: [16:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [16:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml
t0: [16:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:30:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:30:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:30:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:30:00 11/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [16:30:00 11/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd
t0: [16:41:00 11/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [16:41:00 11/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 40 rs: Final st: NotStopd t0: [16:41:00 11/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 11/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 11/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [17:00:00 11/09/2009] id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: MICU-A cg: -1 ai: 110 vo: 0 st: D/C'd
t0: [17:31:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [16:00:00 11/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 11/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 11/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 11/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 11/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 11/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 11/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 11/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:30:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 11/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [17:30:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 11/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [17:30:00 11/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [17:30:00 11/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [17:30:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 131 u1: BPM st: NotStopd t0: [17:30:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 11/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:30:00 11/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [17:30:00 11/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [17:30:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:30:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [17:30:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 11/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [17:30:00 11/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [17:30:00 11/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:30:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:30:00 11/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 11/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [17:30:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:30:00 11/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [17:30:00 11/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [17:30:00 11/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [17:30:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 11/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [17:30:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 19.5 vu: ml t0: [17:30:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [17:30:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 57 vu: ml t0: [17:30:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [17:30:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [17:30:00 11/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [17:30:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 9 vu: ml t0: [17:30:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [17:30:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:30:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:30:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 30 ap: none
t0: [18:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [18:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [18:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [19:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [19:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 11/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 150 rs: Manual st: NotStopd
t0: [19:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 19.5 vu: ml t0: [19:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [19:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 57 vu: ml t0: [19:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [19:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [19:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 9 vu: ml
t0: [19:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [19:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [19:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [19:00:00 11/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [19:00:00 11/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 11/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 11/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [20:00:00 11/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 11/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 11/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [20:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [20:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 11/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [20:00:00 11/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [20:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [20:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 38 vu: ml t0: [20:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [20:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [20:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [20:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:53:00 11/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [19:53:00 11/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 40 rs: Final st: NotStopd t0: [19:53:00 11/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [19:53:00 11/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [19:53:00 11/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd
t0: [20:00:00 11/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 11/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 11/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 11/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:00:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 11/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:00:00 11/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [20:00:00 11/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 11/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 11/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [20:00:00 11/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:00:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [20:00:00 11/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 11/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [20:00:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 11/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:00:00 11/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [19:53:00 11/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 85.9 rs: Final st: NotStopd
t0: [20:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd
t0: [20:00:00 11/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 11/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [21:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 146 u1: BPM st: NotStopd t0: [21:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [21:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 38 vu: ml t0: [21:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [21:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [21:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [21:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 11/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 138 rs: Manual st: NotStopd
t0: [21:00:00 11/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: RN v1: 8 rs: Manual st: NotStopd t0: [21:00:00 11/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: RN v1: 39 rs: Manual st: NotStopd t0: [21:00:00 11/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg rs: Manual st: NotStopd t0: [21:00:00 11/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg rs: Manual st: NotStopd t0: [21:00:00 11/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: RN v1: 7.36 rs: Manual st: NotStopd
t0: [21:30:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:30:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [21:30:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:30:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:30:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:30:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:30:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:30:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:30:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:30:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:30:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:30:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:30:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 11/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 129 u1: BPM st: NotStopd t0: [22:00:00 11/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 11/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 11/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 11/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [22:00:00 11/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 11/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 38 vu: ml t0: [22:00:00 11/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 18.75 vu: ml t0: [22:00:00 11/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [22:00:00 11/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [22:00:00 11/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 11/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 11/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 11/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 11/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2893.08 ap: none t0: [23:00:00 11/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 718.083 ap: none t0: [23:00:00 11/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -5765 ap: carryForward
t0: [23:41:00 11/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.6393 u1: ml/cmH st: NotStopd t0: [23:41:00 11/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:41:00 11/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:41:00 11/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [23:41:00 11/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:41:00 11/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [23:41:00 11/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [23:41:00 11/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [23:41:00 11/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:41:00 11/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [23:41:00 11/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [23:41:00 11/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [23:41:00 11/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [23:41:00 11/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [23:41:00 11/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: cmH2O st: NotStopd t0: [23:41:00 11/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [23:41:00 11/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:41:00 11/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [23:41:00 11/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: cmH2O st: NotStopd t0: [23:41:00 11/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.3 u1: cmH2O st: NotStopd t0: [23:41:00 11/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [23:41:00 11/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [23:41:00 11/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [23:41:00 11/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [23:41:00 11/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [23:41:00 11/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:41:00 11/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [23:41:00 11/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [23:41:00 11/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [23:41:00 11/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [23:41:00 11/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [23:41:00 11/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [23:41:00 11/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [23:41:00 11/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [18:00:00 11/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 11/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 11/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 11/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 11/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 11/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 11/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 16 st: NotStopd t0: [18:00:00 11/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [18:00:00 11/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 12/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive v2: 7 st: NotStopd t0: [00:00:00 12/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 12/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [00:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 12/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 12/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 16 st: NotStopd t0: [00:00:00 12/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 12/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 12/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 12/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 12/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 12/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 12/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 12/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 12/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [00:00:00 12/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [00:00:00 12/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 12/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 12/09/2009] tf: [04:00:00 13/09/2009] dt: 1680 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [00:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [00:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 40 ap: none t0: [23:00:00 12/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1920 ap: none t0: [23:00:00 12/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1960 ap: none t0: [23:00:00 12/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -7455 ap: carryForward
t0: [00:00:00 12/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 12/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 12/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 12/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 12/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 12/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 12/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 12/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 12/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 12/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 128 rs: Manual st: NotStopd
t0: [00:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml nb: 1 t0: [00:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml nb: 1 t0: [00:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml nb: 1 t0: [00:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml nb: 1 t0: [00:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml nb: 1
t0: [23:00:00 12/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2225 ap: none t0: [23:00:00 12/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2325 ap: none t0: [23:00:00 12/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 365 ap: none
t0: [01:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [01:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 134 u1: BPM st: NotStopd t0: [02:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 12/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 12/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 12/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 12/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 12/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 12/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 12/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [02:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [02:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [02:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [02:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [02:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [02:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [01:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 12/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 118 rs: Manual st: NotStopd
t0: [03:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [03:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 12/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 133 u1: kg st: NotStopd t0: [04:00:00 12/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0.4 u1: kg st: NotStopd t0: [04:00:00 12/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd
t0: [00:00:00 12/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 12/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 12/09/2009] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 12/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 12/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 12/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive v2: 5 st: NotStopd t0: [04:00:00 12/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 12/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 12/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 12/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [04:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 12/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 12/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 16 st: NotStopd t0: [04:00:00 12/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [04:00:00 12/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 12/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 12/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 12/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 12/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 12/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 12/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 12/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 12/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 12/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 12/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 12/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 12/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 12/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [04:00:00 12/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [04:00:00 12/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 12/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Pink v2: Clear st: NotStopd t0: [04:00:00 12/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 12/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [04:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [04:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [04:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [04:00:00 12/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [04:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [04:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:49:00 12/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:49:00 12/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [04:49:00 12/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [04:49:00 12/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 70 u1: mmHg rs: Final st: NotStopd t0: [04:49:00 12/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [05:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [05:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [05:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [05:00:00 12/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 12/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [05:00:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 12/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 114 rs: Manual st: NotStopd
t0: [05:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:55:00 12/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.3 u1: % rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 287 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd
t0: [04:55:00 12/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 75.9 rs: Final st: NotStopd
t0: [04:55:00 12/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 47 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 115 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:55:00 12/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [06:00:00 12/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [06:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 12/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [06:00:00 12/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 12/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 12/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 12/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 12/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 12/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [06:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [06:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [06:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [06:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [06:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:50:00 12/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26 u1: ml/cmH st: NotStopd t0: [05:50:00 12/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:50:00 12/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:50:00 12/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:50:00 12/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:50:00 12/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [05:50:00 12/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [05:50:00 12/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:50:00 12/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:50:00 12/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [05:50:00 12/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [05:50:00 12/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:50:00 12/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [05:50:00 12/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [05:50:00 12/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.5 u1: cmH2O st: NotStopd t0: [05:50:00 12/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [05:50:00 12/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:50:00 12/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [05:50:00 12/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:50:00 12/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.4 u1: cmH2O st: NotStopd t0: [05:50:00 12/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:50:00 12/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [05:50:00 12/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:50:00 12/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:50:00 12/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:50:00 12/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:50:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [05:50:00 12/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [05:50:00 12/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:50:00 12/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [05:50:00 12/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [05:50:00 12/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:50:00 12/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:30:00 12/09/2009] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd
t0: [07:00:00 12/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 12/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 12/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [07:00:00 12/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 12/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [07:00:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned st: NotStopd t0: [07:35:00 12/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:35:00 12/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:35:00 12/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:35:00 12/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:35:00 12/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [07:35:00 12/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [07:35:00 12/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:35:00 12/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [07:35:00 12/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [07:35:00 12/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:35:00 12/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [07:35:00 12/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [07:35:00 12/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14.9 u1: cmH2O st: NotStopd t0: [07:35:00 12/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.5 u1: L/min st: NotStopd t0: [07:35:00 12/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:35:00 12/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:35:00 12/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [07:35:00 12/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [07:35:00 12/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:35:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [07:35:00 12/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [07:35:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [07:35:00 12/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [07:35:00 12/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [07:35:00 12/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [07:35:00 12/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [07:35:00 12/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [07:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [07:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [07:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [07:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 12/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 137 u1: BPM st: NotStopd t0: [08:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 12/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 12/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 12/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 12/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 12/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 12/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 12/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 12/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 16 st: NotStopd t0: [08:00:00 12/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 12/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 12/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [08:00:00 12/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 12/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [08:00:00 12/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [08:00:00 12/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [08:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [08:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [08:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [08:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [07:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [07:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [07:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [08:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 130 u1: BPM st: NotStopd t0: [09:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [09:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [09:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:42:00 12/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [09:42:00 12/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [09:42:00 12/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [09:42:00 12/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [09:42:00 12/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [08:00:00 12/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 12/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Brown st: NotStopd
t0: [10:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [10:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [10:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [11:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [11:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [10:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [10:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 76 vu: ml t0: [10:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [10:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [10:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [11:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [11:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 38 vu: ml t0: [11:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [11:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [10:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [12:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [12:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 12/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 12/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [12:00:00 12/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [12:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 46.2287 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 12/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 12/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 12/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [11:00:00 12/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 12/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [11:50:00 12/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:50:00 12/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:50:00 12/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:50:00 12/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [11:50:00 12/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [11:50:00 12/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [11:50:00 12/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:50:00 12/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [11:50:00 12/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [11:50:00 12/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:50:00 12/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [11:50:00 12/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [11:50:00 12/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 13.6 u1: cmH2O st: NotStopd t0: [11:50:00 12/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.2 u1: L/min st: NotStopd t0: [11:50:00 12/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:50:00 12/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [11:50:00 12/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [11:50:00 12/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [11:50:00 12/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:50:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [11:50:00 12/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 720 u1: ml/B st: NotStopd t0: [11:50:00 12/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [11:50:00 12/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [11:50:00 12/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [11:50:00 12/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [12:00:00 12/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 125 rs: Manual st: NotStopd
t0: [13:00:00 12/09/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [13:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 137 u1: BPM st: NotStopd t0: [13:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [13:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [13:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:00:00 12/09/2009] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [14:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [14:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [14:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 39 vu: ml t0: [14:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [14:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [14:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [14:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [14:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 12/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [15:55:00 12/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [15:55:00 12/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [15:55:00 12/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [15:55:00 12/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [15:55:00 12/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [15:55:00 12/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:55:00 12/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [15:55:00 12/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [15:55:00 12/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [15:55:00 12/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:55:00 12/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.2 u1: cmH2O st: NotStopd t0: [15:55:00 12/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.1 u1: L/min st: NotStopd t0: [15:55:00 12/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:55:00 12/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [15:55:00 12/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [15:55:00 12/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [15:55:00 12/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [15:55:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:55:00 12/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thick st: NotStopd t0: [15:55:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [15:55:00 12/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [15:55:00 12/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [15:55:00 12/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [15:55:00 12/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [15:55:00 12/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [15:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 155 u1: BPM st: NotStopd t0: [15:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [15:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [15:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [16:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [16:00:00 12/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 12/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 12/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [16:00:00 12/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [16:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 144 rs: Manual st: NotStopd
t0: [15:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 12/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 12/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 12/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Pink v2: Sediment st: NotStopd t0: [16:00:00 12/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd
t0: [16:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [16:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [16:00:00 12/09/2009] tf: [14:58:00 01/10/2009] dt: 27298 id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [16:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [17:17:00 12/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 76.9 rs: Final st: NotStopd
t0: [17:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [17:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 271 u1: mmHg st: NotStopd t0: [17:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [17:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [18:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [18:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 12/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [18:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 12/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 12/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 12/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 12/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 12/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 12/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 12/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [20:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 12/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 12/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 18 st: NotStopd t0: [20:00:00 12/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 12/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 12/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 12/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 12/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 12/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 12/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [20:00:00 12/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 12/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 12/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 12/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 12/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 12/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 12/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 12/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 12/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 12/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [20:00:00 12/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [20:00:00 12/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Pink v2: Sediment st: NotStopd t0: [20:00:00 12/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 12/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 52 vu: ml nb: 1 t0: [20:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [20:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [20:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml nb: 1 t0: [20:00:00 12/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [20:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 24 vu: ml t0: [20:00:00 12/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 15 vu: ml t0: [20:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [20:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 12/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 12/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 12/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 12/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 12/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 12/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 12/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [20:00:00 12/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [20:00:00 12/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [20:49:00 12/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:49:00 12/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:49:00 12/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:49:00 12/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:49:00 12/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:49:00 12/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:49:00 12/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [20:49:00 12/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:49:00 12/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:49:00 12/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:49:00 12/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:49:00 12/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.2 u1: cmH2O st: NotStopd t0: [20:49:00 12/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.98 u1: L/min st: NotStopd t0: [20:49:00 12/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:49:00 12/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:49:00 12/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [20:49:00 12/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:49:00 12/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:49:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [20:49:00 12/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [20:49:00 12/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:49:00 12/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:49:00 12/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 12/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 124 rs: Manual st: NotStopd
t0: [21:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 146 u1: BPM st: NotStopd t0: [21:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [21:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [22:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 12/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [22:00:00 12/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 12/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 12/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 12/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 12/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 12/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/09/2009] tf: [20:00:00 23/09/2009] dt: 15720 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 12/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [22:00:00 12/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 12/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 12/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [22:00:00 12/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [22:00:00 12/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [22:00:00 12/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [21:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none
t0: [23:00:00 12/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 12/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 12/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 150 u1: BPM st: NotStopd t0: [23:00:00 12/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 12/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 12/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 12/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [23:00:00 12/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [23:00:00 12/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 12/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 13/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 13/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 13/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 13/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 13/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 13/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 13/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 152 u1: BPM st: NotStopd t0: [00:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 13/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 13/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 13/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 18 st: NotStopd t0: [00:00:00 13/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 13/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 13/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 13/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 13/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 13/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 13/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 13/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [00:00:00 13/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 13/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 13/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 13/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 13/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 13/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 13/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 13/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 13/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 13/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [00:00:00 13/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [00:00:00 13/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 13/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 96 rs: Manual st: NotStopd t0: [00:00:00 13/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [00:00:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml nb: 1 t0: [00:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [00:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml nb: 1 t0: [00:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [00:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [23:00:00 12/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 12/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 12/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 700 cv: 700 ap: none t0: [23:00:00 13/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -375.5 cv: -375.5 ap: none t0: [23:00:00 13/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 219.5 cv: 2049 ap: none t0: [23:00:00 13/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 324.5 cv: 2744 ap: none t0: [23:00:00 13/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 105 cv: 635 ap: none t0: [23:00:00 13/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 700 cv: 3000 ap: none t0: [23:00:00 13/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -375.5 cv: -256 ap: carryForward t0: [23:00:00 13/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 700 cv: 3000 ap: carryForward t0: [23:00:00 13/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -565 cv: -9310 ap: carryForward
t0: [00:11:00 13/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:11:00 13/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:11:00 13/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:11:00 13/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:11:00 13/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:11:00 13/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:11:00 13/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [00:11:00 13/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:11:00 13/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:11:00 13/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:11:00 13/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:11:00 13/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.9 u1: cmH2O st: NotStopd t0: [00:11:00 13/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [00:11:00 13/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:11:00 13/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:11:00 13/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [00:11:00 13/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:11:00 13/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:11:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [00:11:00 13/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [00:11:00 13/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:11:00 13/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:11:00 13/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:30:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 150 u1: BPM st: NotStopd t0: [00:30:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:30:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:30:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:30:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [00:30:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:30:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:30:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:30:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:30:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:30:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 148 u1: BPM st: NotStopd t0: [01:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [01:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 155 u1: BPM st: NotStopd t0: [02:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 13/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [02:00:00 13/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 13/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 13/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 13/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 13/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 13/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [02:00:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 55 vu: ml t0: [02:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [02:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [02:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [02:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [01:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 147 rs: Manual st: NotStopd
t0: [03:27:00 13/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [03:27:00 13/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [03:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [03:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [03:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [03:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 13/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 13/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 13/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 13/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 13/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 13/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 146 u1: BPM st: NotStopd t0: [04:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 13/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 13/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 13/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 18 st: NotStopd t0: [04:00:00 13/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [04:00:00 13/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 13/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 13/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [04:00:00 13/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 13/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 13/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [04:00:00 13/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 13/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [04:00:00 13/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 13/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 13/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 13/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 13/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 13/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 13/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 13/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 13/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 13/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 13/09/2009] tf: [04:00:00 13/09/2009] dt: 240 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [02:00:00 13/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 13/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [04:00:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [04:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [04:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [04:00:00 13/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [04:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [03:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [05:31:00 13/09/2009] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [05:31:00 13/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [05:31:00 13/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [05:31:00 13/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [05:25:00 13/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [05:25:00 13/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [05:25:00 13/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [05:25:00 13/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [05:25:00 13/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [05:30:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:30:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:30:00 13/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:30:00 13/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:30:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [05:30:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:30:00 13/09/2009] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 19 st: NotStopd t0: [05:30:00 13/09/2009] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 18 st: NotStopd t0: [05:30:00 13/09/2009] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Wrist v2: 20 gauge st: NotStopd t0: [05:30:00 13/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:30:00 13/09/2009] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:30:00 13/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:30:00 13/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:30:00 13/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:30:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:30:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:30:00 13/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:30:00 13/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:30:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:30:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [05:30:00 13/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:30:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:30:00 13/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:30:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:30:00 13/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:30:00 13/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:30:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 160 rs: Manual st: NotStopd t0: [06:00:00 13/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 132 u1: BPM st: NotStopd t0: [06:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 13/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 13/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 13/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 13/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 13/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 13/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 13/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [06:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 13/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [06:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [06:00:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml nb: 1 t0: [06:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [06:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [06:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.5 vu: ml t0: [06:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [05:30:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:30:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:30:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:30:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 13/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 13/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 13/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Soft st: NotStopd
t0: [06:00:00 13/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [06:00:00 13/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [06:00:00 13/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 13/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [06:00:00 13/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:00:00 13/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [06:00:00 13/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 13/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:00:00 13/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [06:00:00 13/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [06:00:00 13/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 13/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [06:00:00 13/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.4 u1: cmH2O st: NotStopd t0: [06:00:00 13/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [06:00:00 13/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 13/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [06:00:00 13/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [06:00:00 13/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [06:00:00 13/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 13/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [06:00:00 13/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 13/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [06:00:00 13/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [05:28:00 13/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.8 u1: % rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: gm/dl rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 298 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.08 u1: /mic l rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 rs: Final st: NotStopd
t0: [05:28:00 13/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 51 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 159 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:28:00 13/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:28:00 13/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 61.8 rs: Final st: NotStopd
t0: [06:00:00 13/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [06:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [06:00:00 13/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 13/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd
t0: [07:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [07:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [07:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 13/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 13/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 13/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 13/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 13/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 13/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [08:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 13/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 13/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 13/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 13/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [08:00:00 13/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [08:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [08:00:00 13/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 13/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 13/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [08:00:00 13/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [08:00:00 13/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Pink v2: Sediment st: NotStopd t0: [08:00:00 13/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 159 rs: Manual st: NotStopd t0: [08:00:00 13/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 13/09/2009] tf: [00:00:00 14/09/2009] dt: 960 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [08:00:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 13/09/2009] tf: [14:58:00 01/10/2009] dt: 26338 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [08:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [08:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [07:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [07:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 200 su: ml rt: IV Drip t0: [07:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [08:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none
t0: [08:00:00 13/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 13/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 13/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 13/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [09:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [09:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [10:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [10:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [10:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [11:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [11:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [11:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 39 vu: ml t0: [11:00:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [11:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [11:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [11:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [11:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [11:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [09:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [09:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [10:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 13/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 13/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 13/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [11:00:00 13/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [11:00:00 13/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 13/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 13/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [11:00:00 13/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [11:00:00 13/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12.6 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.1 u1: L/min st: NotStopd t0: [11:00:00 13/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 12 u1: . st: NotStopd t0: [11:00:00 13/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 13/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 13/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [11:00:00 13/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [11:00:00 13/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [11:00:00 13/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [11:00:00 13/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd
t0: [11:00:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 140 rs: Manual st: NotStopd
t0: [11:45:00 13/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [11:45:00 13/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [11:45:00 13/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [11:45:00 13/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [11:45:00 13/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [12:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [12:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [12:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 134 u1: BPM st: NotStopd t0: [13:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [13:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:30:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:30:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 48 u1: BPM st: NotStopd t0: [13:30:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:30:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:30:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:30:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [13:30:00 13/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [13:30:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:30:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:30:00 13/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:30:00 13/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [13:30:00 13/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [13:30:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:30:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:30:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:30:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:05:00 13/09/2009] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [14:05:00 13/09/2009] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 137 u1: kg t0: [14:05:00 13/09/2009] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [14:05:00 13/09/2009] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: COPD ASTHMA t0: [14:05:00 13/09/2009] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [14:05:00 13/09/2009] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [14:05:00 13/09/2009] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [14:05:00 13/09/2009] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: S t0: [14:05:00 13/09/2009] id: Religion el: 1000 cu: MICU-A cg: -1 v1: OTR t0: [14:05:00 13/09/2009] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [14:05:00 13/09/2009] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [14:05:00 13/09/2009] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [14:05:00 13/09/2009] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [14:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 13/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 51 u1: BPM st: NotStopd t0: [14:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 13/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 13/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 13/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 13/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 13/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [14:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 13/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 13/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 13/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 13/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [14:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 39 vu: ml t0: [14:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [14:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [14:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [14:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [14:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:10:00 13/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd
t0: [14:37:00 13/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [14:37:00 13/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [14:37:00 13/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [14:37:00 13/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [14:37:00 13/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [15:15:00 13/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [15:15:00 13/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [15:15:00 13/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [15:15:00 13/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [15:15:00 13/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [15:15:00 13/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:15:00 13/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [15:15:00 13/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [15:15:00 13/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [15:15:00 13/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:15:00 13/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [15:15:00 13/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.7 u1: L/min st: NotStopd t0: [15:15:00 13/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [15:15:00 13/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [15:15:00 13/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [15:15:00 13/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:15:00 13/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [15:15:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [15:15:00 13/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [15:15:00 13/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [15:15:00 13/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [15:15:00 13/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [15:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [15:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [15:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 160 rs: Manual st: NotStopd
t0: [15:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [16:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [16:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 35 vu: ml t0: [16:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [16:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [16:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 35 vu: ml t0: [16:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [16:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [16:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [17:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [17:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [17:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [17:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [18:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 175 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [18:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 13/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 13/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [18:00:00 13/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [18:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 13/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 28 vu: ml t0: [18:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [18:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 87.5 vu: ml t0: [18:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 70 vu: ml t0: [18:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [18:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [17:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 13/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd
t0: [17:00:00 13/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd
t0: [19:14:00 13/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [19:14:00 13/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [19:14:00 13/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [19:14:00 13/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [19:14:00 13/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [13:00:00 13/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [13:00:00 13/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 13/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [13:00:00 13/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [13:00:00 13/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [13:00:00 13/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 13/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 13/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 13/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 13/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 13/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 13/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 13/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 13/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 13/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 13/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 13/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 13/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 13/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 13/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 13/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 13/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 13/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 13/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 13/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 13/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 13/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 13/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [20:00:00 13/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 13/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [20:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [20:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 70 vu: ml t0: [20:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [20:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 750 vu: ml
t0: [20:00:00 13/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 13/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd
t0: [20:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 153 u1: BPM st: NotStopd t0: [20:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [20:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 13/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 13/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [20:00:00 13/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [20:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 13/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 13/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 13/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 13/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:30:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 157 u1: BPM st: NotStopd t0: [20:30:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:30:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:30:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:30:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [20:30:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:30:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:30:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd
t0: [20:00:00 13/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [20:30:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [20:30:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:30:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:30:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:30:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [20:00:00 13/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd
t0: [20:55:00 13/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:55:00 13/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:55:00 13/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:55:00 13/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:55:00 13/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:55:00 13/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:55:00 13/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:55:00 13/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:55:00 13/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:55:00 13/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:55:00 13/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:55:00 13/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:55:00 13/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [20:55:00 13/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:55:00 13/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:55:00 13/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [20:55:00 13/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:55:00 13/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:55:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [20:55:00 13/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:55:00 13/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [21:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [21:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [21:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [21:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [21:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 13/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: Nodal Bigeminy st: NotStopd t0: [22:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [22:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 102 u2: mmHg st: NotStopd t0: [22:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [22:00:00 13/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [22:00:00 13/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 13/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 13/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 13/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 13/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 13/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 13/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 13/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 13/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 152 u1: BPM st: NotStopd t0: [23:00:00 13/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 13/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 13/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 13/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [23:00:00 13/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 13/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 13/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/09/2009] tf: [14:58:00 01/10/2009] dt: 25438 id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 13/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 39 vu: ml t0: [23:00:00 13/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 13/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [23:00:00 13/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [23:00:00 13/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 105 vu: ml t0: [23:00:00 13/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [23:00:00 13/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 700 vu: ml
t0: [21:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 13/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 13/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 13/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 13/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 161 rs: Manual st: NotStopd
t0: [20:00:00 13/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 13/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 14/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 14/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 14/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 14/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 14/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 14/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 14/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 14/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [00:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 14/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 14/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 14/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 14/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 14/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 14/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 14/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 14/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 14/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 14/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [00:00:00 14/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Restraint DC'd st: NotStopd t0: [00:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 14/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 14/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 14/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 14/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [00:00:00 14/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [00:00:00 14/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 14/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 14/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 14/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 14/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [00:00:00 14/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [00:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 14/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [00:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [00:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [00:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 14/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 480 cv: 480 ap: none t0: [23:00:00 14/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -345 cv: -345 ap: none t0: [23:00:00 14/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 85 cv: 2258.5 ap: none t0: [23:00:00 14/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 135 cv: 3408.5 ap: none t0: [23:00:00 14/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1050 ap: none t0: [23:00:00 14/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 480 cv: 3050 ap: none t0: [23:00:00 14/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -345 cv: 358.5 ap: none t0: [23:00:00 14/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 480 cv: 3050 ap: none t0: [23:00:00 14/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -420 cv: -10770 ap: carryForward
t0: [00:32:00 14/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:32:00 14/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:32:00 14/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:32:00 14/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:32:00 14/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:32:00 14/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:32:00 14/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:32:00 14/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:32:00 14/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:32:00 14/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:32:00 14/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.6 u1: cmH2O st: NotStopd t0: [00:32:00 14/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [00:32:00 14/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:32:00 14/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:32:00 14/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [00:32:00 14/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:32:00 14/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:32:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:32:00 14/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:32:00 14/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [01:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [01:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [01:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [02:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [02:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [02:00:00 14/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [02:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [01:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 152 rs: Manual st: NotStopd
t0: [02:00:00 14/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [02:00:00 14/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 14/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [03:00:00 14/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 132 u1: BPM st: NotStopd t0: [03:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [03:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [02:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml nb: 1 t0: [02:00:00 14/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml nb: 1 t0: [02:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml nb: 1 t0: [03:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vu: ml nb: 1
t0: [03:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 14/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 14/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 14/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 14/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 14/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 14/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [04:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 14/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 14/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 14/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 14/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 14/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [04:00:00 14/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 14/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 14/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 14/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [04:00:00 14/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [04:00:00 14/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 14/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 14/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 14/09/2009] tf: [08:00:00 20/09/2009] dt: 8880 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [04:00:00 14/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [04:00:00 14/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [04:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [04:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [04:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 14/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 14/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [05:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/09/2009] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 14/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 14/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 142 u1: BPM st: NotStopd t0: [05:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 14/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 14/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 14/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 14/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 14/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 14/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [05:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 14/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:16:00 14/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:16:00 14/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 38 rs: Final st: NotStopd t0: [05:16:00 14/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [05:16:00 14/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [05:16:00 14/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [05:00:00 14/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:30:00 14/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [05:30:00 14/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [06:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [06:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 129 rs: Manual st: NotStopd
t0: [06:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [06:00:00 14/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [06:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [06:00:00 14/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [06:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [06:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [06:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:25:00 14/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:25:00 14/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:25:00 14/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:25:00 14/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:25:00 14/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [05:25:00 14/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:25:00 14/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [05:25:00 14/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [05:25:00 14/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:25:00 14/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:25:00 14/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:25:00 14/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.3 u1: cmH2O st: NotStopd t0: [05:25:00 14/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [05:25:00 14/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:25:00 14/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [05:25:00 14/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [05:25:00 14/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:25:00 14/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:25:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [05:25:00 14/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [05:25:00 14/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [05:25:00 14/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [05:15:00 14/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.7 u1: % rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 304 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.05 u1: /mic l rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.6 rs: Final st: NotStopd
t0: [06:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [20:55:00 13/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [20:55:00 13/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [20:55:00 13/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:55:00 13/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33.5 u1: cmH2O st: NotStopd t0: [20:55:00 13/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:55:00 13/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:55:00 13/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [20:55:00 13/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:55:00 13/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT u1: ml/B st: NotStopd t0: [20:55:00 13/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [20:55:00 13/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [00:32:00 14/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26 u1: ml/cmH st: NotStopd t0: [00:32:00 14/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.7 st: NotStopd t0: [00:32:00 14/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:32:00 14/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32.5 u1: cmH2O st: NotStopd t0: [00:32:00 14/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [00:32:00 14/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:32:00 14/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [00:32:00 14/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:32:00 14/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:32:00 14/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [00:32:00 14/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [05:25:00 14/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.0833 u1: ml/cmH st: NotStopd t0: [05:25:00 14/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.7 st: NotStopd t0: [05:25:00 14/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [05:25:00 14/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31.5 u1: cmH2O st: NotStopd t0: [05:25:00 14/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [05:25:00 14/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:25:00 14/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:25:00 14/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:25:00 14/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [05:25:00 14/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:50:00 14/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:50:00 14/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [05:50:00 14/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [05:15:00 14/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 69.4 rs: Final st: NotStopd
t0: [05:15:00 14/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [05:15:00 14/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [08:00:00 14/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 14/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 14/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 14/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [08:00:00 14/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 14/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 14/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [08:00:00 14/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 14/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 14/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.8 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.64 u1: L/min st: NotStopd t0: [08:00:00 14/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 14/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [08:00:00 14/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:00:00 14/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 14/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 14/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 14/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [08:00:00 14/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 14/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [08:00:00 14/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [07:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [07:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [07:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 146 u1: BPM st: NotStopd t0: [08:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 14/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [08:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 14/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 14/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [08:00:00 14/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [08:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 166 rs: Manual st: NotStopd
t0: [08:00:00 14/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [08:00:00 14/09/2009] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [08:00:00 14/09/2009] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [08:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [08:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [07:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [07:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [07:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [08:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [09:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [09:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 150 u1: BPM st: NotStopd t0: [10:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [10:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [11:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [11:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 119 rs: Manual st: NotStopd
t0: [11:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [11:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 39 vu: ml t0: [11:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [11:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 75 vu: ml t0: [11:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 21 vu: ml t0: [11:00:00 14/09/2009] tf: [09:00:00 15/09/2009] dt: 1320 id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 120 vu: ml t0: [11:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [11:00:00 14/09/2009] tf: [06:01:00 18/09/2009] dt: 5461 id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [09:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [09:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [10:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [11:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:14:00 14/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.8889 u1: ml/cmH st: NotStopd t0: [12:14:00 14/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:14:00 14/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:14:00 14/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:14:00 14/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:14:00 14/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [12:14:00 14/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [12:14:00 14/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:14:00 14/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:14:00 14/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [12:14:00 14/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:14:00 14/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:14:00 14/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:14:00 14/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.7 u1: cmH2O st: NotStopd t0: [12:14:00 14/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [12:14:00 14/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:14:00 14/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [12:14:00 14/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [12:14:00 14/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19.6 u1: cmH2O st: NotStopd t0: [12:14:00 14/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:14:00 14/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [12:14:00 14/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [12:14:00 14/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:14:00 14/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:14:00 14/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:14:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [12:14:00 14/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thin st: NotStopd t0: [12:14:00 14/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:14:00 14/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [12:14:00 14/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [12:14:00 14/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:14:00 14/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [12:14:00 14/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:14:00 14/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:14:00 14/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 145 u1: BPM st: NotStopd t0: [12:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [12:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 14/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 14/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [12:00:00 14/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [12:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 124 rs: Manual st: NotStopd
t0: [12:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [12:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [12:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [12:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [12:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [12:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [12:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
io: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ra: 50 ru: ml/hr
id: Replete w/fiber el: 1 cu: MICU-A cg: RN io: Replete w/fiber 250.0str IV Infusions vo: 250 du: str rt: Gastric/Feeding Tube
t0: [13:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [13:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [13:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [14:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [14:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [14:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [14:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 14 vu: ml t0: [14:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [14:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 650 vu: ml t0: [14:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [13:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
id: Diltiazem el: 101 cu: MICU-A cg: RN io: D5W 250.0ml + 250mghr Diltiazem IV Infusions am: 250 du: mghr rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 250mghr Diltiazem IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [15:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 150 u1: BPM st: NotStopd t0: [15:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [15:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 129 rs: Manual st: NotStopd t0: [16:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 149 u1: BPM st: NotStopd t0: [16:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [16:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [16:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 14/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 14/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [16:00:00 14/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [16:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [15:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [15:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [15:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [15:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [15:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [16:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 14/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 14/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 14/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 14/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [16:00:00 14/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 14/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 14/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [16:00:00 14/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:00:00 14/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 14/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.5 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [16:00:00 14/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [16:00:00 14/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [16:00:00 14/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [16:00:00 14/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 14/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [16:00:00 14/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 14/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [16:00:00 14/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 14/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:00:00 14/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [16:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [16:00:00 14/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [16:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [16:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [16:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [23:00:00 14/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none
t0: [10:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 14/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [11:00:00 14/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 14/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 14/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 14/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 14/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 14/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [12:00:00 14/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 14/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 14/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 14/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 14/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [12:00:00 14/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 14/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Bronchial st: NotStopd t0: [12:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 14/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 14/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 14/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 14/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 14/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 14/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 14/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 14/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 14/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [15:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 14/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [17:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [17:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 14/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [17:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 37 u1: BPM st: NotStopd t0: [17:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 136 rs: Manual st: NotStopd
t0: [17:00:00 14/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [17:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [17:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [17:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [17:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [17:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [17:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:55:00 14/09/2009] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [18:55:00 14/09/2009] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 137 u1: kg t0: [18:55:00 14/09/2009] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [18:55:00 14/09/2009] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: COPD ASTHMA t0: [18:55:00 14/09/2009] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [18:55:00 14/09/2009] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [18:55:00 14/09/2009] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [18:55:00 14/09/2009] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: S t0: [18:55:00 14/09/2009] id: Religion el: 1000 cu: MICU-A cg: -1 v1: OTR t0: [18:55:00 14/09/2009] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [18:55:00 14/09/2009] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [18:55:00 14/09/2009] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [18:55:00 14/09/2009] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [19:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [19:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [19:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [19:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 14/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 14/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 14/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 14/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 14/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 14/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 14/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 132 u1: BPM st: NotStopd t0: [20:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 14/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 14/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 14/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [20:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 14/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 14/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [20:00:00 14/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 14/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 14/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 14/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 14/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 14/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 14/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 14/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 14/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 14/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 14/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 14/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 14/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 14/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 14/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 14/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 14/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 14/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 39 vu: ml t0: [20:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 75 vu: ml t0: [20:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 21 vu: ml t0: [20:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 150 vu: ml t0: [20:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 270 vu: ml t0: [20:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [19:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [19:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [19:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 14/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 130 rs: Manual st: NotStopd
t0: [21:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 134 u1: BPM st: NotStopd t0: [21:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [21:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [21:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [21:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [21:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [21:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [21:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [21:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:10:00 14/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:10:00 14/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:10:00 14/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:10:00 14/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:10:00 14/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [21:10:00 14/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:10:00 14/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [21:10:00 14/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [21:10:00 14/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:10:00 14/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:10:00 14/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:10:00 14/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.3 u1: cmH2O st: NotStopd t0: [21:10:00 14/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [21:10:00 14/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [21:10:00 14/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [21:10:00 14/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [21:10:00 14/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [21:10:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [21:10:00 14/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [21:10:00 14/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [21:10:00 14/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [21:10:00 14/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [22:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 134 u1: BPM st: NotStopd t0: [22:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [22:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [22:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [22:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [22:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [22:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml t0: [22:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [22:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 14/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd t0: [23:00:00 14/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 14/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 14/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 143 u1: BPM st: NotStopd t0: [23:00:00 14/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 14/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 14/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 14/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [23:00:00 14/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 14/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 14/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 14/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 14/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [23:00:00 14/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 14/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [23:00:00 14/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [23:00:00 14/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [23:00:00 14/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 480 vu: ml t0: [23:00:00 14/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [23:00:00 14/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 14/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 14/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:24:00 15/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:24:00 15/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:24:00 15/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:24:00 15/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:24:00 15/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:24:00 15/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:24:00 15/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:24:00 15/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:24:00 15/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:24:00 15/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:24:00 15/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [00:24:00 15/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [00:24:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:24:00 15/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:24:00 15/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [00:24:00 15/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:24:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:24:00 15/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [00:24:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:24:00 15/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:24:00 15/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 148 u1: BPM st: NotStopd t0: [00:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [00:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 39 u1: BPM st: NotStopd t0: [00:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 15/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [00:00:00 15/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [00:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 132 rs: Manual st: NotStopd
t0: [00:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [00:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [00:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [00:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [00:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [00:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [01:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [01:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [01:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 13 vu: ml t0: [01:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [01:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [01:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [01:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml t0: [01:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [01:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 150 u1: BPM st: NotStopd t0: [02:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [02:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [03:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [03:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [03:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [04:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 133.4 u1: kg st: NotStopd t0: [04:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 77 rs: Manual st: NotStopd
t0: [04:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 39 vu: ml t0: [04:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 75 vu: ml t0: [04:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 21 vu: ml t0: [04:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 150 vu: ml t0: [04:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml t0: [04:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [02:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:30:00 15/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [03:30:00 15/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [03:30:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd
t0: [04:31:00 15/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.6667 u1: ml/cmH st: NotStopd t0: [04:31:00 15/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:31:00 15/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:31:00 15/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:31:00 15/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:31:00 15/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.9 st: NotStopd t0: [04:31:00 15/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:31:00 15/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:31:00 15/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:31:00 15/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [04:31:00 15/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:31:00 15/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:31:00 15/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:31:00 15/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.3 u1: cmH2O st: NotStopd t0: [04:31:00 15/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [04:31:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:31:00 15/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:31:00 15/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 37.5 u1: cmH2O st: NotStopd t0: [04:31:00 15/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20.2 u1: cmH2O st: NotStopd t0: [04:31:00 15/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:31:00 15/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [04:31:00 15/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:31:00 15/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:31:00 15/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:31:00 15/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:31:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [04:31:00 15/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:31:00 15/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:31:00 15/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [04:31:00 15/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:31:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [04:31:00 15/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:31:00 15/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:31:00 15/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 15/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 15/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 15/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 15/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 15/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 15/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 15/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 15/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 15/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 15/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 15/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 15/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 15/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 15/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 15/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 15/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 15/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 15/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 15/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 15/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [02:00:00 15/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 15/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 15/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 15/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 15/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 15/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 15/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 15/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 15/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 15/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 15/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 15/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 15/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 15/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 15/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 15/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 15/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 15/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 15/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 15/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 15/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 15/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 15/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 15/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 15/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 15/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [05:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [06:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [06:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [06:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 100 vu: ml t0: [06:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [05:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1300 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:53:00 15/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27 u1: % rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 305 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.2 rs: Final st: NotStopd
t0: [06:53:00 15/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 104.7 rs: Final st: NotStopd
t0: [08:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 146 u1: BPM st: NotStopd t0: [08:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [08:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 72 rs: Manual st: NotStopd
t0: [08:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:53:00 15/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 42 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 80 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [06:53:00 15/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [08:00:00 15/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 26 vu: ml t0: [08:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [08:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 100 vu: ml t0: [08:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [08:00:00 15/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [08:00:00 15/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd
t0: [08:00:00 15/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 15/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 15/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 15/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 15/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 15/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 15/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 15/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 15/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 15/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 15/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 15/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 15/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 15/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 15/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 15/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 15/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 15/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 15/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 15/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 15/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 15/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 15/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 8 u1: number st: NotStopd t0: [08:00:00 15/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [09:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 15/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [09:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 144 u1: BPM st: NotStopd t0: [09:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 15/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 15/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 15/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 15/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [09:00:00 15/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 15/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [09:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 15/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [09:00:00 15/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 15/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [09:00:00 15/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [09:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [09:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [09:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [09:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:57:00 15/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 23.6364 u1: ml/cmH st: NotStopd t0: [08:57:00 15/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 22cm v2: Lip st: NotStopd t0: [08:57:00 15/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [08:57:00 15/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 55 u1: cmH2O st: NotStopd t0: [08:57:00 15/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 35 u1: BPM st: NotStopd t0: [08:57:00 15/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:2.9 st: NotStopd t0: [08:57:00 15/09/2009] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.0 mm st: NotStopd t0: [08:57:00 15/09/2009] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [08:57:00 15/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [08:57:00 15/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 8 v2: 13 st: NotStopd t0: [08:57:00 15/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 4 st: NotStopd t0: [08:57:00 15/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [08:57:00 15/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [08:57:00 15/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 13.4 u1: cmH2O st: NotStopd t0: [08:57:00 15/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 8.85 u1: L/min st: NotStopd t0: [08:57:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:57:00 15/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: CRT v1: 60 u1: L/m st: NotStopd t0: [08:57:00 15/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 35 u1: cmH2O st: NotStopd t0: [08:57:00 15/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 21 u1: cmH2O st: NotStopd t0: [08:57:00 15/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [08:57:00 15/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: CRT v1: 14 u1: . st: NotStopd t0: [08:57:00 15/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 0 u1: BPM st: NotStopd t0: [08:57:00 15/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [08:57:00 15/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [08:57:00 15/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [08:57:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 95 u1: % st: NotStopd t0: [08:57:00 15/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 670 u1: ml/B st: NotStopd t0: [08:57:00 15/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 650 u1: ml/B st: NotStopd t0: [08:57:00 15/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: CRT v1: 9 u1: # st: NotStopd t0: [08:57:00 15/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: 7200A st: NotStopd t0: [08:57:00 15/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [10:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 106 rs: Manual st: NotStopd
t0: [08:00:00 15/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Tenacious st: NotStopd t0: [08:00:00 15/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:57:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: SIMV+PS st: NotStopd t0: [09:59:00 15/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [09:59:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:59:00 15/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [09:59:00 15/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 650 u1: ml/B st: NotStopd t0: [09:59:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd
t0: [10:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 129 u1: BPM st: NotStopd t0: [10:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [10:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml t0: [09:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml st: Stopped t0: [10:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [10:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [10:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [10:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [09:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [10:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 15/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 15/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 15/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 15/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 15/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 15/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 15/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 15/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 15/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:30:00 15/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:30:00 15/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:30:00 15/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [10:30:00 15/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:30:00 15/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:30:00 15/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:30:00 15/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [10:30:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml st: Restart
t0: [10:39:00 15/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [10:39:00 15/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [10:39:00 15/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [10:39:00 15/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [10:39:00 15/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.53 rs: Final st: NotStopd
t0: [10:46:00 15/09/2009] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 238 rs: Final st: NotStopd t0: [10:46:00 15/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [10:46:00 15/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.9 rs: Final st: NotStopd
t0: [11:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 132 u1: BPM st: NotStopd t0: [11:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [11:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:35:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd
t0: [12:00:00 15/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [12:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 138 u1: BPM st: NotStopd t0: [12:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 15/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [12:00:00 15/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 15/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 15/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 15/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [12:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [12:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 15/09/2009] tf: [12:00:00 21/09/2009] dt: 8640 id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [12:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [12:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [12:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 223 rs: Manual st: NotStopd
t0: [12:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:12:00 15/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [12:12:00 15/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [12:12:00 15/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [12:12:00 15/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [12:12:00 15/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [12:52:00 15/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 32.5 u1: ml/cmH st: NotStopd t0: [12:52:00 15/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [12:52:00 15/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 55 u1: cmH2O st: NotStopd t0: [12:52:00 15/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 35 u1: BPM st: NotStopd t0: [12:52:00 15/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:1.9 st: NotStopd t0: [12:52:00 15/09/2009] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.0 mm st: NotStopd t0: [12:52:00 15/09/2009] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [12:52:00 15/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT v1: 33.9 u1: Deg. C st: NotStopd t0: [12:52:00 15/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 8 v2: 13 st: NotStopd t0: [12:52:00 15/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 4 st: NotStopd t0: [12:52:00 15/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [12:52:00 15/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [12:52:00 15/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 16.2 u1: cmH2O st: NotStopd t0: [12:52:00 15/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 9.64 u1: L/min st: NotStopd t0: [12:52:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [12:52:00 15/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: CRT v1: 50 u1: L/m st: NotStopd t0: [12:52:00 15/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 30 u1: cmH2O st: NotStopd t0: [12:52:00 15/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 25 u1: cmH2O st: NotStopd t0: [12:52:00 15/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [12:52:00 15/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 3 u1: BPM st: NotStopd t0: [12:52:00 15/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 17 u1: BPM st: NotStopd t0: [12:52:00 15/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [12:52:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 95 u1: % st: NotStopd t0: [12:52:00 15/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 680 u1: ml/B st: NotStopd t0: [12:52:00 15/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 650 u1: ml/B st: NotStopd t0: [12:52:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [12:52:00 15/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: CRT v1: 9 u1: # st: NotStopd t0: [12:52:00 15/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: 7200A st: NotStopd t0: [12:52:00 15/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [13:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [13:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [13:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [13:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [13:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [13:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [13:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:52:00 15/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 23cm v2: Lip st: NotStopd
t0: [12:08:00 15/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 81.5 rs: Final st: NotStopd
t0: [13:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 246 rs: Manual st: NotStopd
t0: [13:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 15/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 15/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 15/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 15/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [13:00:00 15/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 15/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 15/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [13:00:00 15/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 15/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [10:46:00 15/09/2009] id: D-Dimer (0-500) Coags el: 0 cu: MICU-A cg: 1663 v1: <500 rs: Final st: NotStopd
t0: [14:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [14:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [14:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [14:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [14:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [14:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [14:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 15/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 15/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [14:00:00 15/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [14:00:00 15/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [14:00:00 15/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 15/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 15/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [14:00:00 15/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 15/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 15/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [13:00:00 15/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [13:00:00 15/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [13:00:00 15/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [13:00:00 15/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [13:00:00 15/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [13:00:00 15/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 15/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [14:00:00 15/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 15/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 15/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 15/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 15/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 15/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 15/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 15/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 210 rs: Manual st: NotStopd
t0: [14:03:00 15/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [14:03:00 15/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [14:03:00 15/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [14:03:00 15/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [14:03:00 15/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [16:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 124 u1: BPM st: NotStopd t0: [16:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 15/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 15/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [16:00:00 15/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [16:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 170 rs: Manual st: NotStopd
t0: [16:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [16:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [16:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 120 vu: ml t0: [16:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [16:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [16:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:15:00 15/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 31.8627 u1: ml/cmH st: NotStopd t0: [16:15:00 15/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [16:15:00 15/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [16:15:00 15/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 55 u1: cmH2O st: NotStopd t0: [16:15:00 15/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 35 u1: BPM st: NotStopd t0: [16:15:00 15/09/2009] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.0 mm st: NotStopd t0: [16:15:00 15/09/2009] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [16:15:00 15/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT v1: 33 u1: Deg. C st: NotStopd t0: [16:15:00 15/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 8 v2: 13 st: NotStopd t0: [16:15:00 15/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 4 st: NotStopd t0: [16:15:00 15/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [16:15:00 15/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [16:15:00 15/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 16 u1: cmH2O st: NotStopd t0: [16:15:00 15/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 10 u1: L/min st: NotStopd t0: [16:15:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [16:15:00 15/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: CRT v1: 50 u1: L/m st: NotStopd t0: [16:15:00 15/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 30.4 u1: cmH2O st: NotStopd t0: [16:15:00 15/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 22.7 u1: cmH2O st: NotStopd t0: [16:15:00 15/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [16:15:00 15/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 2 u1: BPM st: NotStopd t0: [16:15:00 15/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 16 u1: BPM st: NotStopd t0: [16:15:00 15/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 14 u1: BPM st: NotStopd t0: [16:15:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 98 u1: % st: NotStopd t0: [16:15:00 15/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 640 u1: ml/B st: NotStopd t0: [16:15:00 15/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 650 u1: ml/B st: NotStopd t0: [16:15:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [16:15:00 15/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: CRT v1: 9 u1: # st: NotStopd t0: [16:15:00 15/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: 7200A st: NotStopd t0: [16:15:00 15/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [16:30:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [16:30:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:30:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:30:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:30:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:30:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:30:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:30:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 15/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 139 u1: BPM st: NotStopd t0: [17:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 15/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 15/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 15/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 15/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 15/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 15/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [17:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [17:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [17:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [17:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [17:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 144 rs: Manual st: NotStopd
t0: [17:30:00 15/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:30:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:30:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [17:30:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:30:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [17:30:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [17:30:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml nb: 1 t0: [17:30:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [17:30:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [17:30:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:30:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:30:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:30:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:30:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [17:30:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:30:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [18:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 122 u1: BPM st: NotStopd t0: [18:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 15/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [18:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [18:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [18:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [18:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 124 rs: Manual st: NotStopd
t0: [18:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:11:00 15/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 69.2 rs: Final st: NotStopd
t0: [20:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 134 rs: Manual st: NotStopd
t0: [20:00:00 15/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [20:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 126 u1: BPM st: NotStopd t0: [20:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [20:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [20:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml t0: [20:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [20:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 15/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 121 u1: BPM st: NotStopd t0: [21:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 15/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 15/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [21:00:00 15/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [21:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [21:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [21:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml t0: [21:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [21:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:02:00 15/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 34.3915 u1: ml/cmH st: NotStopd t0: [21:02:00 15/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:02:00 15/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:02:00 15/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [21:02:00 15/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:02:00 15/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.6 st: NotStopd t0: [21:02:00 15/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [21:02:00 15/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:02:00 15/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:02:00 15/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [21:02:00 15/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:02:00 15/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:02:00 15/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:02:00 15/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.7 u1: cmH2O st: NotStopd t0: [21:02:00 15/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [21:02:00 15/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:02:00 15/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [21:02:00 15/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28.9 u1: cmH2O st: NotStopd t0: [21:02:00 15/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24.3 u1: cmH2O st: NotStopd t0: [21:02:00 15/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:02:00 15/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:02:00 15/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:02:00 15/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:02:00 15/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:02:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [21:02:00 15/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [21:02:00 15/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:02:00 15/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [21:02:00 15/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [21:02:00 15/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:02:00 15/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [21:02:00 15/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:02:00 15/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 15/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 127 u1: BPM st: NotStopd t0: [22:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 15/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 129 rs: Manual st: NotStopd
t0: [22:00:00 15/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 15/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 15/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 15/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [22:00:00 15/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 15/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [22:00:00 15/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [22:00:00 15/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [22:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 15/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 15/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 15/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2716 ap: none t0: [23:00:00 15/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3996 ap: none t0: [23:00:00 15/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1280 ap: none t0: [23:00:00 15/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2650 ap: none t0: [23:00:00 15/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1346 ap: none t0: [23:00:00 15/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2650 ap: none t0: [23:00:00 15/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -11060 ap: carryForward
t0: [20:00:00 15/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 15/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 15/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 15/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 15/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 15/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 15/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 15/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 15/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 15/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 15/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 15/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 15/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [20:00:00 15/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 15/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 15/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 15/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 15/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 15/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 15/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 15/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 15/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 15/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 15/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 15/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 15/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 15/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 15/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 15/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 15/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 15/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 15/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 15/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 15/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 15/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [23:00:00 15/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [23:00:00 15/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 15/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 15/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [23:00:00 15/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 15/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 15/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 15/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 15/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 15/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 15/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 16/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 16/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 16/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 16/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 16/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 16/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 16/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 16/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 16/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 16/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 16/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 16/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 16/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 16/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 16/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 16/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 16/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 16/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 16/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 16/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 16/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 16/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 16/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [00:00:00 16/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 16/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 16/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [00:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [00:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [00:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml t0: [00:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [23:00:00 15/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 15/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 15/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 15/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 15/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 16/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 16/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 16/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2436.5 ap: none t0: [23:00:00 16/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 4836.5 ap: none t0: [23:00:00 16/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 2080 ap: none t0: [23:00:00 16/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2460 ap: none t0: [23:00:00 16/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 2376.5 ap: none t0: [23:00:00 16/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2460 ap: none t0: [23:00:00 16/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -10330 ap: carryForward
t0: [00:04:00 16/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.8165 u1: ml/cmH st: NotStopd t0: [00:04:00 16/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:04:00 16/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:04:00 16/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:04:00 16/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:04:00 16/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [00:04:00 16/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:04:00 16/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:04:00 16/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:04:00 16/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:04:00 16/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:04:00 16/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:04:00 16/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.6 u1: cmH2O st: NotStopd t0: [00:04:00 16/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [00:04:00 16/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:04:00 16/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:04:00 16/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31.8 u1: cmH2O st: NotStopd t0: [00:04:00 16/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24.7 u1: cmH2O st: NotStopd t0: [00:04:00 16/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:04:00 16/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:04:00 16/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:04:00 16/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:04:00 16/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:04:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [00:04:00 16/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [00:04:00 16/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:04:00 16/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:04:00 16/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:04:00 16/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:04:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:04:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:04:00 16/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 124 u1: BPM st: NotStopd t0: [01:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 133 u1: BPM st: NotStopd t0: [02:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 96 rs: Manual st: NotStopd
t0: [02:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [02:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [02:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml t0: [02:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [01:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 129 u1: BPM st: NotStopd t0: [03:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 16/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 91 rs: Manual st: NotStopd
t0: [03:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 131 u1: BPM st: NotStopd t0: [04:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [04:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [04:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [04:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [04:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [04:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:35:00 16/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:35:00 16/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:35:00 16/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:35:00 16/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [04:35:00 16/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:35:00 16/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [04:35:00 16/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:35:00 16/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:35:00 16/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [04:35:00 16/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [04:35:00 16/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:35:00 16/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:35:00 16/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:35:00 16/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:35:00 16/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [04:35:00 16/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:35:00 16/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:35:00 16/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28.2 u1: cmH2O st: NotStopd t0: [04:35:00 16/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20.5 u1: cmH2O st: NotStopd t0: [04:35:00 16/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:35:00 16/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [04:35:00 16/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:35:00 16/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:35:00 16/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:35:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [04:35:00 16/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:35:00 16/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:35:00 16/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [04:35:00 16/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:35:00 16/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:35:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:35:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:35:00 16/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 130 u1: BPM st: NotStopd t0: [05:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 16/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 16/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [05:00:00 16/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [05:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 16/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 11.0177 u1: ml/dl st: NotStopd t0: [05:00:00 16/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:00:00 16/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 40 rs: Final st: NotStopd t0: [05:00:00 16/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [05:00:00 16/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [05:00:00 16/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [05:00:00 16/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [05:25:00 16/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.2 u1: % rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: gm/dl rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 298 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.92 u1: /mic l rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18.1 rs: Final st: NotStopd
t0: [05:25:00 16/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 63.4 rs: Final st: NotStopd
t0: [06:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 130 u1: BPM st: NotStopd t0: [06:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 16/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 16/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [06:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [06:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [06:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [06:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 210 vu: ml t0: [06:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [06:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:25:00 16/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 93 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [04:00:00 16/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 16/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 16/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 16/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 16/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 16/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 16/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 16/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 16/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 16/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 16/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 16/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 16/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 16/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 16/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 16/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 16/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 16/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 16/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 16/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 16/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 16/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 16/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 16/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [06:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 16/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 40.625 u1: ml/cmH st: NotStopd t0: [07:00:00 16/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 16/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 16/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 16/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2 st: NotStopd t0: [07:00:00 16/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [07:00:00 16/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 16/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.9 u1: Deg. C st: NotStopd t0: [07:00:00 16/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [07:00:00 16/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [07:00:00 16/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:00:00 16/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.8 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.32 u1: L/min st: NotStopd t0: [07:00:00 16/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [07:00:00 16/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:00:00 16/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [07:00:00 16/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [07:00:00 16/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [07:00:00 16/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 16/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [07:00:00 16/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [07:00:00 16/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [07:00:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [07:00:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [07:00:00 16/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [07:00:00 16/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 2 v2: Flovent st: NotStopd
t0: [08:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 16/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 16/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 16/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 16/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 16/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 16/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 16/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 16/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 16/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 121 u1: BPM st: NotStopd t0: [08:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 16/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 16/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 16/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 16/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 16/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 16/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 16/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 16/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 16/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 16/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 16/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 16/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [08:00:00 16/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [08:00:00 16/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 16/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 16/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [08:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [08:00:00 16/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [08:00:00 16/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [08:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [08:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [08:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [08:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [10:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:06:00 16/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.7 u1: L/min st: NotStopd t0: [11:06:00 16/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [11:06:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [11:06:00 16/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [11:06:00 16/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [11:06:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [11:06:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [11:06:00 16/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd
t0: [09:00:00 16/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 16/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:30:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [11:30:00 16/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [11:30:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 16/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:30:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:30:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 16/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:30:00 16/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:30:00 16/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [11:30:00 16/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [11:30:00 16/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:30:00 16/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [11:30:00 16/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:30:00 16/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:30:00 16/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:30:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:30:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:30:00 16/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:30:00 16/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:30:00 16/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:30:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 16/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [11:30:00 16/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:30:00 16/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:30:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:30:00 16/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [11:30:00 16/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [11:30:00 16/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [11:30:00 16/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [11:30:00 16/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [11:30:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:30:00 16/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [11:30:00 16/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:30:00 16/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [11:30:00 16/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [11:30:00 16/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [11:30:00 16/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [11:30:00 16/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:30:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 16/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [11:30:00 16/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 273 rs: Manual st: NotStopd
t0: [10:00:00 16/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [11:00:00 16/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [11:30:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [11:30:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 35 vu: ml t0: [11:30:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [11:30:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 87.5 vu: ml t0: [11:30:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [11:30:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 315 vu: ml t0: [11:30:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml t0: [11:30:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml
t0: [11:30:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:30:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:30:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:30:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:25:00 16/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:25:00 16/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd
t0: [12:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [12:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:17:00 16/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:17:00 16/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:17:00 16/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:17:00 16/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.9 u1: Deg. C st: NotStopd t0: [12:17:00 16/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [12:17:00 16/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:17:00 16/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:17:00 16/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.5 u1: cmH2O st: NotStopd t0: [12:17:00 16/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.6 u1: L/min st: NotStopd t0: [12:17:00 16/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:17:00 16/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:17:00 16/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [12:17:00 16/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:17:00 16/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:17:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [12:17:00 16/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [12:17:00 16/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:17:00 16/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [12:17:00 16/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [12:17:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:17:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:17:00 16/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:30:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:30:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:30:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:30:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:30:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:30:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:30:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [13:30:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:30:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [14:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [14:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [14:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 62.5 vu: ml t0: [14:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [14:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 225 vu: ml t0: [14:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml t0: [14:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [14:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:01:00 16/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [14:01:00 16/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [14:01:00 16/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 16/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 16/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [14:55:00 16/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [14:55:00 16/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [14:55:00 16/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [14:55:00 16/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [14:55:00 16/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 12 u1: . st: NotStopd t0: [14:55:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [14:55:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [14:55:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [15:30:00 16/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [15:30:00 16/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [15:30:00 16/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [15:30:00 16/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [15:30:00 16/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [15:30:00 16/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:30:00 16/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [15:30:00 16/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [15:30:00 16/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [15:30:00 16/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:30:00 16/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [15:30:00 16/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [15:30:00 16/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.6 u1: cmH2O st: NotStopd t0: [15:30:00 16/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.4 u1: L/min st: NotStopd t0: [15:30:00 16/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:30:00 16/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [15:30:00 16/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [15:30:00 16/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [15:30:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:30:00 16/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [15:30:00 16/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [15:30:00 16/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [15:30:00 16/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [15:30:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [15:30:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [16:30:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [16:30:00 16/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:30:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 16/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:30:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 16/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:30:00 16/09/2009] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [16:30:00 16/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:30:00 16/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:30:00 16/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:30:00 16/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:30:00 16/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:30:00 16/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:30:00 16/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:30:00 16/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [16:30:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:30:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:30:00 16/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:30:00 16/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:30:00 16/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:30:00 16/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:30:00 16/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:30:00 16/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:30:00 16/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:30:00 16/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [16:30:00 16/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:30:00 16/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:30:00 16/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 16/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:30:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:30:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [16:30:00 16/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:30:00 16/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:30:00 16/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:30:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 16/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:30:00 16/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:30:00 16/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:30:00 16/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:30:00 16/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:30:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:30:00 16/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:30:00 16/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:30:00 16/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:30:00 16/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:30:00 16/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:30:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 16/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:30:00 16/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:30:00 16/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [16:30:00 16/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [16:30:00 16/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:30:00 16/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:30:00 16/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:30:00 16/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:30:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 16/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:30:00 16/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 283 rs: Manual st: NotStopd t0: [16:30:00 16/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:30:00 16/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [16:30:00 16/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:30:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [16:30:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [16:30:00 16/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [16:30:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [16:30:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 62.5 vu: ml t0: [16:30:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [16:30:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 225 vu: ml t0: [16:30:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [16:30:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [16:30:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:30:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:30:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:30:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:30:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:30:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:30:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:30:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [18:30:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:30:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 16/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [18:30:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:30:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:30:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:30:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [18:30:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:30:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [18:30:00 16/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [18:30:00 16/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [18:30:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [18:30:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [18:30:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:30:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:30:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:30:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 16/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 16/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [18:30:00 16/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 205 rs: Manual st: NotStopd
t0: [20:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [20:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [20:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 16/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 16/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 16/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 16/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 16/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [20:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 15 vu: ml t0: [20:00:00 16/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [20:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [20:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [20:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 135 vu: ml
t0: [20:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 16/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 320 ap: none
t0: [20:00:00 16/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 16/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 16/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 16/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:00:00 16/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 16/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 16/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:00:00 16/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 16/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 16/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:00:00 16/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [20:00:00 16/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 16/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thin st: NotStopd t0: [20:00:00 16/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 16/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 16/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 16/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:00:00 16/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 16/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:00:00 16/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd
t0: [20:00:00 16/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 16/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 16/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 16/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 16/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 16/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 16/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 16/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 16/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 16/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 16/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 16/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 16/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 16/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 16/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 16/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 16/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 16/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 16/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 16/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 16/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 16/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd t0: [20:00:00 16/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml nb: 1 t0: [20:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 190 vu: ml t0: [20:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml nb: 1
t0: [20:00:00 16/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 16/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 16/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 16/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 16/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 16/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 16/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [21:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 16/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 16/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 16/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 16/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 16/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 16/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 16/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 16/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 16/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 16/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 16/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [22:00:00 16/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 16/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [22:00:00 16/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [22:00:00 16/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [21:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 16/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 112 rs: Manual st: NotStopd
t0: [23:00:00 16/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 16/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 16/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:00:00 16/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 16/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 16/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 16/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 16/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 16/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 16/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 16/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 16/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 16/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 16/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 16/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 16/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [00:00:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 17/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 17/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 17/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 17/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 17/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 17/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 17/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 17/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 17/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 17/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 17/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 17/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 17/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 17/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 17/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 17/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 17/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 17/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 17/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 17/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 17/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 17/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 17/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [00:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [00:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [00:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [00:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [00:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [00:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 17/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 17/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1987 ap: none t0: [23:00:00 17/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 4517 ap: none t0: [23:00:00 17/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 2160 ap: none t0: [23:00:00 17/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 3900 ap: none t0: [23:00:00 17/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 617 ap: none t0: [23:00:00 17/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 3900 ap: none t0: [23:00:00 17/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -11260 ap: carryForward
t0: [00:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 96 rs: Manual st: NotStopd
t0: [00:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 17/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [00:00:00 17/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 45 u1: BPM st: NotStopd t0: [00:00:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [00:00:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [00:00:00 17/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [00:00:00 17/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 4 st: NotStopd t0: [00:00:00 17/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 17/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 16.2 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 9.74 u1: L/min st: NotStopd t0: [00:00:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: rrt v1: 14 u1: . st: NotStopd t0: [00:00:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 26 u1: BPM st: NotStopd t0: [00:00:00 17/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: rrt v1: 470 u1: ml/B st: NotStopd t0: [00:00:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: CPAP+PS st: NotStopd t0: [00:00:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [00:00:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd
t0: [01:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [01:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [01:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [02:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [02:00:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [02:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [02:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [02:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [02:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [01:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 114 rs: Manual st: NotStopd
t0: [02:00:00 17/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 17/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 17/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 17/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 17/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 17/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 17/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 17/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 17/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 17/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 17/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 17/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 17/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 17/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [03:00:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 17/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 17/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 17/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0.9 u1: kg st: NotStopd t0: [03:00:00 17/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd
t0: [03:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [04:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 17/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 17/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 17/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 17/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 17/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 17/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 17/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 17/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 17/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 17/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 17/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 17/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [04:00:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [04:00:00 17/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 17/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 17/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 17/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 17/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 17/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 17/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 17/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 17/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 17/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [04:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [04:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [04:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 190 vu: ml t0: [04:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [04:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 141 rs: Manual st: NotStopd
t0: [04:00:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 17/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [04:00:00 17/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 45 u1: BPM st: NotStopd t0: [04:00:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [04:00:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [04:00:00 17/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [04:00:00 17/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 4 st: NotStopd t0: [04:00:00 17/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 17/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 18.1 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 9.8 u1: L/min st: NotStopd t0: [04:00:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: rrt v1: 14 u1: . st: NotStopd t0: [04:00:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 21 u1: BPM st: NotStopd t0: [04:00:00 17/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: rrt v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: CPAP+PS st: NotStopd t0: [04:00:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [04:00:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd
t0: [04:29:00 17/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.3 u1: % rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.3 u1: gm/dl rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 277 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.69 u1: /mic l rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd
t0: [04:29:00 17/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 57.6 rs: Final st: NotStopd
t0: [05:06:00 17/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [05:06:00 17/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [05:06:00 17/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [05:06:00 17/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [05:06:00 17/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [05:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [05:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [05:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 38 u1: BPM st: NotStopd
t0: [06:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [06:00:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 17/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 17/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 17/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 17/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 17/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [06:00:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 17/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 22.5 vu: ml t0: [06:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml nb: 1 t0: [06:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [06:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [06:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [06:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [06:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:29:00 17/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:29:00 17/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd
t0: [06:00:00 17/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml
t0: [06:00:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 17/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [06:00:00 17/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [06:00:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd
t0: [06:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd
t0: [06:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 162 rs: Manual st: NotStopd
t0: [08:02:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:02:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:02:00 17/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 12 u1: lpm st: NotStopd t0: [08:02:00 17/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 6 u1: cmH2O st: NotStopd t0: [08:02:00 17/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:02:00 17/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 45 u1: BPM st: NotStopd t0: [08:02:00 17/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.5 st: NotStopd t0: [08:02:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:02:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:02:00 17/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34.1 u1: Deg. C st: NotStopd t0: [08:02:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:02:00 17/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [08:02:00 17/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:02:00 17/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:02:00 17/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 2 v2: Flovent st: NotStopd t0: [08:02:00 17/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.9 u1: cmH2O st: NotStopd t0: [08:02:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.43 u1: L/min st: NotStopd t0: [08:02:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:02:00 17/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [08:02:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:02:00 17/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2.2 u1: cmH2O st: NotStopd t0: [08:02:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:02:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:02:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:02:00 17/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 560 u1: ml/B st: NotStopd t0: [08:02:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [08:02:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:02:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [08:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 36 u1: BPM st: NotStopd t0: [08:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [08:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [08:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [08:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [08:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [08:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [08:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [08:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:26:00 17/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.0833 u1: ml/cmH st: NotStopd t0: [08:26:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:26:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:26:00 17/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 8 u1: lpm st: NotStopd t0: [08:26:00 17/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:26:00 17/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.7 st: NotStopd t0: [08:26:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:26:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:26:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:26:00 17/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [08:26:00 17/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 19.8 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.86 u1: L/min st: NotStopd t0: [08:26:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:26:00 17/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:26:00 17/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [08:26:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [08:26:00 17/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:26:00 17/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:26:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:26:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:26:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:26:00 17/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:26:00 17/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:26:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:26:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:26:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:26:00 17/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [09:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [09:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:30:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:30:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [09:30:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 17/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [09:30:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:30:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:30:00 17/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:30:00 17/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [09:30:00 17/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [09:30:00 17/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [09:30:00 17/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:30:00 17/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [09:30:00 17/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:30:00 17/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [09:30:00 17/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:30:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [09:30:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:30:00 17/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:30:00 17/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [09:30:00 17/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:30:00 17/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:30:00 17/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:30:00 17/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:30:00 17/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [09:30:00 17/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [09:30:00 17/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:30:00 17/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [09:30:00 17/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:30:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [09:30:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [09:30:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:30:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:30:00 17/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:30:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:30:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [09:30:00 17/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:30:00 17/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:30:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:30:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:30:00 17/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [09:30:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:30:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [09:30:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [09:30:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [09:30:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [09:30:00 17/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [09:30:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [09:30:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:30:00 17/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [09:30:00 17/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:30:00 17/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [09:30:00 17/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [09:30:00 17/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:30:00 17/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Red v2: Sediment st: NotStopd t0: [09:30:00 17/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [09:30:00 17/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:30:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 17/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [09:30:00 17/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:30:00 17/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [09:30:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [09:30:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [09:30:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [09:30:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [09:30:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.5 vu: ml t0: [09:30:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 135 vu: ml t0: [09:30:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [09:30:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [09:30:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:30:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [10:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [10:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 175 rs: Manual st: NotStopd
t0: [10:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [10:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:30:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [11:30:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [11:30:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [11:30:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [11:30:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:30:00 17/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:30:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:30:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [11:30:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [11:30:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [11:30:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [11:30:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.5 vu: ml t0: [11:30:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [11:30:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml t0: [11:30:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [11:30:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [11:30:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:30:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:30:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 238 rs: Manual st: NotStopd
t0: [11:30:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:42:00 17/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [11:42:00 17/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [11:42:00 17/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [11:42:00 17/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [11:42:00 17/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [11:41:00 17/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 71.9 rs: Final st: NotStopd
t0: [12:29:00 17/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 28.2609 u1: ml/cmH st: NotStopd t0: [12:29:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:29:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:29:00 17/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 8 u1: lpm st: NotStopd t0: [12:29:00 17/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:29:00 17/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.6 st: NotStopd t0: [12:29:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [12:29:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:29:00 17/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:29:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [12:29:00 17/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [12:29:00 17/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.39 u1: L/min st: NotStopd t0: [12:29:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [12:29:00 17/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:29:00 17/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 4 u1: BPM st: NotStopd t0: [12:29:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:29:00 17/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:29:00 17/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:29:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:29:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:29:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:29:00 17/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [12:29:00 17/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:29:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:29:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:29:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:29:00 17/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:30:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:30:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [12:30:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:30:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:30:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [12:30:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:30:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:30:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [12:30:00 17/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [12:30:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:30:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [12:30:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [12:30:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [12:30:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 900 vu: ml t0: [12:30:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [12:30:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [12:30:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:30:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:30:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 17/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 17/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [14:00:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 17/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [14:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 17/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 17/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [14:00:00 17/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [14:00:00 17/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [14:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [14:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [14:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [14:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.5 vu: ml t0: [14:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 135 vu: ml t0: [14:00:00 17/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [14:00:00 17/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [14:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 600 vu: ml t0: [14:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [14:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 17/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [12:30:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [15:20:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [15:20:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [15:20:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [15:20:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:20:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [15:20:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.5 u1: L/min st: NotStopd t0: [15:20:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:20:00 17/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 12 u1: . st: NotStopd t0: [15:20:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [15:20:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:20:00 17/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [15:20:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [15:20:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [15:20:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [15:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 299 rs: Manual st: NotStopd
t0: [16:15:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:15:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:15:00 17/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:15:00 17/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [16:15:00 17/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:15:00 17/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:15:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [16:15:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:15:00 17/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [16:15:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [16:15:00 17/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [16:15:00 17/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:15:00 17/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:15:00 17/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.3 u1: cmH2O st: NotStopd t0: [16:15:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.3 u1: L/min st: NotStopd t0: [16:15:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:15:00 17/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:15:00 17/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 14 u1: . st: NotStopd t0: [16:15:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [16:15:00 17/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:15:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:15:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [16:15:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:15:00 17/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [16:15:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [16:15:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [16:15:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [16:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 17/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 17/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 17/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 17/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:00:00 17/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 17/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [16:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 17/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 17/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 17/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 17/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [16:00:00 17/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 17/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 17/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 17/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [16:00:00 17/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 17/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [16:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [16:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [16:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [16:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [16:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 550 vu: ml t0: [16:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [15:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [16:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 257 rs: Manual st: NotStopd
t0: [16:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 206 rs: Manual st: NotStopd
t0: [18:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [18:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [18:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 160 rs: Manual st: NotStopd
t0: [18:00:00 17/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [18:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [18:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [18:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [18:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [18:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [18:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [18:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 17/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 17/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 17/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 17/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 17/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 17/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 17/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 17/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 17/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 17/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [20:00:00 17/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:00:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 17/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 17/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 17/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 17/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 17/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 17/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [20:00:00 17/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 17/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 17/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [20:00:00 17/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [20:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [20:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [20:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml t0: [20:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [20:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [20:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 370 ap: none
t0: [21:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [21:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [21:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [21:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 90 rs: Manual st: NotStopd
t0: [21:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vu: ml nb: 1
t0: [21:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [21:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 17/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 17/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 17/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 17/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 17/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 17/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 17/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 17/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 17/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 17/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 17/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [21:50:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:50:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:50:00 17/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:50:00 17/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:50:00 17/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:50:00 17/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [21:50:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [21:50:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:50:00 17/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [21:50:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [21:50:00 17/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:50:00 17/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:50:00 17/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:50:00 17/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [21:50:00 17/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.9 u1: cmH2O st: NotStopd t0: [21:50:00 17/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [21:50:00 17/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:50:00 17/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:50:00 17/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [21:50:00 17/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [21:50:00 17/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:50:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [21:50:00 17/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [21:50:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [21:50:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [21:50:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [22:00:00 17/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 102 rs: Manual st: NotStopd
t0: [22:00:00 17/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [22:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 17/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [22:00:00 17/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 17/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 17/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 17/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 17/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 17/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 17/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [22:00:00 17/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 17/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [22:00:00 17/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [22:00:00 17/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [22:00:00 17/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [22:00:00 17/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [22:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [22:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:45:00 17/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [22:45:00 17/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:45:00 17/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [22:45:00 17/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [22:45:00 17/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [22:45:00 17/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [22:45:00 17/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [22:45:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [22:45:00 17/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [22:45:00 17/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [22:45:00 17/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [22:45:00 17/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [22:45:00 17/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 17/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 17/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 17/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [23:00:00 17/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:00:00 17/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 17/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 17/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [23:00:00 17/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 17/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 17/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 17/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 17/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 17/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 17/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [23:00:00 17/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 17/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 17/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 17/09/2009] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [00:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 18/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 18/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 18/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 18/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 18/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 18/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 18/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [00:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 18/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 18/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 18/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:00:00 18/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 18/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [00:00:00 18/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 18/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 18/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 18/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 18/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 18/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 18/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 18/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 18/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 18/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 134 rs: Manual st: NotStopd t0: [00:00:00 18/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [00:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [00:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [00:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [00:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml nb: 1 t0: [00:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [00:00:00 18/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [00:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 18/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 125 su: ml rt: IV Drip t0: [00:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 18/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 320 cv: 320 ap: none t0: [23:00:00 18/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -64.5 cv: -64.5 ap: none t0: [23:00:00 18/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 75.5 cv: 1469 ap: none t0: [23:00:00 18/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 255.5 cv: 3989 ap: none t0: [23:00:00 18/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 180 cv: 2250 ap: none t0: [23:00:00 18/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 320 cv: 3180 ap: none t0: [23:00:00 18/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -64.5 cv: 809 ap: none t0: [23:00:00 18/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 320 cv: 3180 ap: none t0: [23:00:00 18/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -120 cv: -11370 ap: carryForward
t0: [00:00:00 18/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [01:10:00 18/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.0833 u1: ml/cmH st: NotStopd t0: [01:10:00 18/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:10:00 18/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:10:00 18/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [01:10:00 18/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:10:00 18/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [01:10:00 18/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [01:10:00 18/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:10:00 18/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [01:10:00 18/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [01:10:00 18/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [01:10:00 18/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:10:00 18/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.1 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [01:10:00 18/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [01:10:00 18/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24.4 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:10:00 18/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [01:10:00 18/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:10:00 18/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:10:00 18/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:10:00 18/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:10:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [01:10:00 18/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [01:10:00 18/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [01:10:00 18/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [01:10:00 18/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [01:10:00 18/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:10:00 18/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:45:00 18/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [02:45:00 18/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [01:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [01:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [01:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [02:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [02:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [02:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [02:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [02:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [02:00:00 18/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [01:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 18/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 125 su: ml rt: IV Drip t0: [01:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 18/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 125 su: ml rt: IV Drip t0: [02:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 132 rs: Manual st: NotStopd
t0: [03:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [03:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 18/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 18/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 18/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 18/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 18/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 18/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 18/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 18/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 18/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 18/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 18/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 18/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 18/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 18/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 18/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.3 u1: kg st: NotStopd t0: [04:00:00 18/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 18/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 18/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 18/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 18/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 18/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 18/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 18/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [04:00:00 18/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [04:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [04:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [04:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [04:00:00 18/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [03:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 18/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 125 su: ml rt: IV Drip t0: [03:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 18/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [04:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 18/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [05:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 18/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 18/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [05:00:00 18/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 18/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 18/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 18/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 18/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 18/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [06:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [06:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml nb: 1 t0: [06:00:00 18/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [06:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [06:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml nb: 1 t0: [06:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [06:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [05:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 18/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [05:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 18/09/2009] id: Diltiazem el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [06:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 18/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [05:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [05:00:00 18/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [05:00:00 18/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [06:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd
t0: [05:50:00 18/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.0833 u1: ml/cmH st: NotStopd t0: [05:50:00 18/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:50:00 18/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:50:00 18/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:50:00 18/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:50:00 18/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [05:50:00 18/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [05:50:00 18/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:50:00 18/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.3 u1: Deg. C st: NotStopd t0: [05:50:00 18/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [05:50:00 18/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:50:00 18/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:50:00 18/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.1 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [05:50:00 18/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:50:00 18/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19.3 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:50:00 18/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [05:50:00 18/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [05:50:00 18/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:50:00 18/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:50:00 18/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:50:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [05:50:00 18/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [05:50:00 18/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:50:00 18/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [05:50:00 18/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [05:50:00 18/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [05:50:00 18/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:50:00 18/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:01:00 18/09/2009] id: D5W 250.0ml + 250mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [06:21:00 18/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [06:21:00 18/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [06:21:00 18/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [06:21:00 18/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [06:21:00 18/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [06:22:00 18/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.1 u1: % rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.3 u1: gm/dl rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 256 rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.65 u1: /mic l rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd
t0: [06:22:00 18/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 77.7 rs: Final st: NotStopd
t0: [06:22:00 18/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd
t0: [06:22:00 18/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [06:22:00 18/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [08:10:00 18/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:10:00 18/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:10:00 18/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:10:00 18/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:10:00 18/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:10:00 18/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:10:00 18/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [08:10:00 18/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:10:00 18/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [08:10:00 18/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [08:10:00 18/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:10:00 18/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 18/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [08:10:00 18/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [08:10:00 18/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.7 u1: cmH2O st: NotStopd t0: [08:10:00 18/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [08:10:00 18/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 18/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:10:00 18/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [08:10:00 18/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:10:00 18/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:10:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [08:10:00 18/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [08:10:00 18/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:10:00 18/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [08:10:00 18/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [08:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [08:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [09:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [09:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg st: NotStopd t0: [09:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [09:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [09:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [10:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [10:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [10:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 18/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 18/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [10:00:00 18/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [10:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [10:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 50 vu: ml t0: [10:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [10:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 48 vu: ml t0: [10:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [10:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 360 vu: ml t0: [10:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [08:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 18/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 18/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [10:00:00 18/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 18/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 18/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 18/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [10:00:00 18/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [10:00:00 18/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [10:00:00 18/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 18/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [10:00:00 18/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [10:00:00 18/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [10:00:00 18/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 18/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 18/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 18/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 18/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [10:00:00 18/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [10:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 18/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 18/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [10:00:00 18/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 18/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 18/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [10:00:00 18/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 182 rs: Manual st: NotStopd
t0: [10:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 18/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [10:00:00 18/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [11:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 18/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 18/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 18/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 18/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [11:00:00 18/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 18/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 188 u1: mmHg v2: 173 u2: mmHg st: NotStopd t0: [11:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg st: NotStopd t0: [11:00:00 18/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [11:00:00 18/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [11:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 18/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 18/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 18/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [11:00:00 18/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [11:00:00 18/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [12:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [12:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [12:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [12:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 181 rs: Manual st: NotStopd t0: [12:00:00 18/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 18/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 18/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 18/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [12:00:00 18/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [12:00:00 18/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 18/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 18/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [12:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [12:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [12:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [12:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [11:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:30:00 18/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:30:00 18/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:30:00 18/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:30:00 18/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:30:00 18/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:30:00 18/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:30:00 18/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [12:30:00 18/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 18/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [12:30:00 18/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [12:30:00 18/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [12:30:00 18/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 18/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.3 u1: cmH2O st: NotStopd t0: [12:30:00 18/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [12:30:00 18/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 18/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:30:00 18/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [12:30:00 18/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:30:00 18/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:30:00 18/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [12:30:00 18/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:30:00 18/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:30:00 18/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [12:30:00 18/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [12:27:00 18/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [12:27:00 18/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [12:27:00 18/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 64 u1: mmHg rs: Final st: NotStopd t0: [12:27:00 18/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [12:27:00 18/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [14:45:00 18/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:45:00 18/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:45:00 18/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:45:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [14:45:00 18/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [14:45:00 18/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd
t0: [13:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [13:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [13:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 18/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 18/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [14:00:00 18/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 18/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [14:00:00 18/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [14:00:00 18/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [14:00:00 18/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [14:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [14:00:00 18/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 18/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [14:00:00 18/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 18/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 18/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 18/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 18/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 18/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 18/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 18/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 18/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 18/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 18/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [14:00:00 18/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 18/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 18/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 18/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [14:00:00 18/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [14:00:00 18/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 18/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 18/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [14:00:00 18/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [15:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [15:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [15:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 18/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 18/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 231 rs: Manual st: NotStopd
t0: [15:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [15:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 37.5 vu: ml t0: [15:00:00 18/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [15:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [15:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 36 vu: ml t0: [15:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [15:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 270 vu: ml t0: [15:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [13:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 18/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 270 ap: none
t0: [15:00:00 18/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:00:00 18/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [15:00:00 18/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd
t0: [16:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 277 rs: Manual st: NotStopd
t0: [16:45:00 18/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 36.1111 u1: ml/cmH st: NotStopd t0: [16:45:00 18/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:45:00 18/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:45:00 18/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:45:00 18/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [16:45:00 18/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [16:45:00 18/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [16:45:00 18/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:45:00 18/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.2 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [16:45:00 18/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:45:00 18/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.3 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:45:00 18/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [16:45:00 18/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:45:00 18/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:45:00 18/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:45:00 18/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:45:00 18/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [16:45:00 18/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [16:45:00 18/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:45:00 18/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:45:00 18/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [16:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [16:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [16:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 214 rs: Manual st: NotStopd
t0: [18:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [17:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [17:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [18:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 18/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 18/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [18:00:00 18/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [18:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/09/2009] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.48 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [17:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 18/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 18/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 18/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [18:00:00 18/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 18/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [18:00:00 18/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 18/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [18:00:00 18/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 18/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [18:00:00 18/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [18:00:00 18/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [18:00:00 18/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 18/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [18:00:00 18/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [18:00:00 18/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 18/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 18/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 18/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 18/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 18/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 18/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [18:00:00 18/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 18/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber st: NotStopd t0: [18:00:00 18/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 18/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 18/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [17:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [17:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 18/09/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 24 vu: ml t0: [17:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [17:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [18:00:00 18/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [18:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [18:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [18:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [18:00:00 18/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [18:00:00 18/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd
t0: [19:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [19:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 181 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [19:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [19:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [19:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [20:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 18/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 18/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 18/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 153 rs: Manual st: NotStopd
t0: [20:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [20:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 14 vu: ml t0: [20:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [20:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [19:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [19:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 18/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 18/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 18/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 18/09/2009] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 18/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 18/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 18/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 18/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 18/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 18/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 18/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 18/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 18/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 18/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 18/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 18/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 18/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 18/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 18/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 18/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 18/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 18/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 18/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 18/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 18/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 18/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [20:00:00 18/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 18/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 18/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 18/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 18/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 18/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 18/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 18/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 18/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 18/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 18/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 18/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 30.9524 u1: ml/cmH st: NotStopd t0: [20:00:00 18/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 18/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 18/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [20:00:00 18/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [20:00:00 18/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [20:00:00 18/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [20:00:00 18/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.4 u1: Deg. C st: NotStopd t0: [20:00:00 18/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [20:00:00 18/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [20:00:00 18/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 15.1 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 8.18 u1: L/min st: NotStopd t0: [20:00:00 18/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/m st: NotStopd t0: [20:00:00 18/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [20:00:00 18/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 1 u1: BPM st: NotStopd t0: [20:00:00 18/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 13 u1: BPM st: NotStopd t0: [20:00:00 18/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [20:00:00 18/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 18/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 630 u1: ml/B st: NotStopd t0: [20:00:00 18/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 18/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [20:00:00 18/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [20:00:00 18/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [20:00:00 18/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [20:00:00 18/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 18/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Flovent st: NotStopd t0: [20:00:00 18/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: White v2: Thick st: NotStopd t0: [20:00:00 18/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Moderate st: NotStopd
t0: [21:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [21:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [21:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [21:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [21:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [21:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [21:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [21:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [21:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:30:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 116 rs: Manual st: NotStopd
t0: [21:30:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [22:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 18/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 18/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 18/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 18/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 18/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 18/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 18/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [23:00:00 18/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 18/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [23:00:00 18/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 18/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 18/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 18/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [23:00:00 18/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 18/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.5 vu: ml t0: [23:00:00 18/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [23:00:00 18/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [22:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 18/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 18/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 80 rs: Manual st: NotStopd
t0: [23:00:00 18/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [00:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 19/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 19/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 19/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [00:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml
t0: [00:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 19/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 29.5455 u1: ml/cmH st: NotStopd t0: [00:00:00 19/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 19/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 19/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [00:00:00 19/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [00:00:00 19/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [00:00:00 19/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [00:00:00 19/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.3 u1: Deg. C st: NotStopd t0: [00:00:00 19/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [00:00:00 19/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [00:00:00 19/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 19/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 7.5 u1: L/min st: NotStopd t0: [00:00:00 19/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/m st: NotStopd t0: [00:00:00 19/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [00:00:00 19/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 0 u1: BPM st: NotStopd t0: [00:00:00 19/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [00:00:00 19/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [00:00:00 19/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 19/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 610 u1: ml/B st: NotStopd t0: [00:00:00 19/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 19/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [00:00:00 19/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [00:00:00 19/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [00:00:00 19/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [00:00:00 19/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 19/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 19/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 19/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 19/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 19/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 19/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 19/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 19/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 19/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 19/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 19/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 19/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 19/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 19/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 19/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 19/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 19/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 19/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 19/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 19/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 19/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 19/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 19/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 19/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 19/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 19/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 19/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [00:00:00 19/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 19/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 19/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 19/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 19/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 19/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [01:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [01:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 19/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 138 rs: Manual st: NotStopd
t0: [01:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [01:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [01:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [01:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [02:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 177 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [02:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [02:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [02:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [03:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [03:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [03:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [03:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [03:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [03:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [02:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 29.5455 u1: ml/cmH st: NotStopd t0: [04:00:00 19/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 19/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 19/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [04:00:00 19/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 19/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [04:00:00 19/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [04:00:00 19/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [04:00:00 19/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 19/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [04:00:00 19/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [04:00:00 19/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 19/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 14.5 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 9.06 u1: L/min st: NotStopd t0: [04:00:00 19/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 19/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/m st: NotStopd t0: [04:00:00 19/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 32 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [04:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [04:00:00 19/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 3 u1: BPM st: NotStopd t0: [04:00:00 19/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 15 u1: BPM st: NotStopd t0: [04:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 19/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [04:00:00 19/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 100 u1: % st: NotStopd t0: [04:00:00 19/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 19/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 19/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [04:00:00 19/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [04:00:00 19/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [04:00:00 19/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd t0: [04:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 141 rs: Manual st: NotStopd t0: [05:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 22 u1: mmHg st: NotStopd t0: [05:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [05:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [05:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [05:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [05:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [05:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [05:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 310 vu: ml
t0: [04:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:30:00 19/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:30:00 19/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 40 rs: Final st: NotStopd t0: [05:30:00 19/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [05:30:00 19/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [05:30:00 19/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [05:30:00 19/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 99 u1: % rs: Final st: NotStopd
t0: [05:15:00 19/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.1 u1: % rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: gm/dl rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 269 rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.67 u1: /mic l rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [05:30:00 19/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.1547 u1: ml/dl st: NotStopd
t0: [05:00:00 19/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 19/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [05:00:00 19/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [06:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [06:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [06:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [06:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [06:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [06:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [06:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [06:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:15:00 19/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 64.3 rs: Final st: NotStopd
t0: [05:15:00 19/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 124 rs: Final st: NotStopd t0: [05:15:00 19/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd
t0: [05:15:00 19/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [05:15:00 19/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd
t0: [05:15:00 19/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.5 rs: Final st: NotStopd
t0: [08:40:00 19/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.2609 u1: ml/cmH st: NotStopd t0: [08:40:00 19/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:40:00 19/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:40:00 19/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:40:00 19/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:40:00 19/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:40:00 19/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:40:00 19/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [08:40:00 19/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:40:00 19/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [08:40:00 19/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [08:40:00 19/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:40:00 19/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:40:00 19/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:40:00 19/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [08:40:00 19/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.8 u1: cmH2O st: NotStopd t0: [08:40:00 19/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [08:40:00 19/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:40:00 19/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:40:00 19/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [08:40:00 19/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:40:00 19/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 7 u1: BPM st: NotStopd t0: [08:40:00 19/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:40:00 19/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:40:00 19/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:40:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:40:00 19/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [08:40:00 19/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [08:40:00 19/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [08:40:00 19/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [08:40:00 19/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:40:00 19/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [08:40:00 19/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:40:00 19/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 19/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [09:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 19/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 19/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 19/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [09:00:00 19/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [09:00:00 19/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [09:00:00 19/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 19/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [09:00:00 19/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 19/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [09:00:00 19/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [09:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [09:00:00 19/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 19/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [09:00:00 19/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 19/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 19/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 19/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:00:00 19/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:00:00 19/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 19/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 19/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 19/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 19/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 19/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 19/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [09:00:00 19/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 19/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [09:00:00 19/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:00:00 19/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:00:00 19/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 19/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 19/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [09:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 19/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [09:00:00 19/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 19/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [09:00:00 19/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 19/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 19/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [09:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 19/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [09:00:00 19/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:00:00 19/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [09:00:00 19/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [09:00:00 19/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [09:00:00 19/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [09:00:00 19/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 19/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 19/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 19/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [09:00:00 19/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [09:00:00 19/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 19/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [09:00:00 19/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [10:00:00 19/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 19/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 19/09/2009] tf: [14:58:00 01/10/2009] dt: 17638 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [09:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 37.5 vu: ml t0: [09:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [09:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 270 vu: ml t0: [09:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [09:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none
t0: [10:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [10:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [10:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 19/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 137 rs: Manual st: NotStopd
t0: [10:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:49:00 19/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:49:00 19/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 14 u1: . st: NotStopd t0: [11:49:00 19/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [11:49:00 19/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [11:49:00 19/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [12:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [12:00:00 19/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [12:00:00 19/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [12:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [12:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 19/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 19/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 37.5 vu: ml t0: [12:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [12:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 270 vu: ml t0: [12:00:00 19/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [12:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 800 vu: ml
t0: [12:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [09:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [12:00:00 19/09/2009] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 19/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 230 rs: Manual st: NotStopd
t0: [12:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:29:00 19/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [12:29:00 19/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [12:29:00 19/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [12:29:00 19/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [12:29:00 19/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [12:45:00 19/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.5164 u1: ml/cmH st: NotStopd t0: [12:45:00 19/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:45:00 19/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:45:00 19/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:45:00 19/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:45:00 19/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [12:45:00 19/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [12:45:00 19/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:45:00 19/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [12:45:00 19/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [12:45:00 19/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [12:45:00 19/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:45:00 19/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.1 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [12:45:00 19/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:45:00 19/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31.3 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:45:00 19/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [12:45:00 19/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:45:00 19/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:45:00 19/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:45:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [12:45:00 19/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [12:45:00 19/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:45:00 19/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [12:45:00 19/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [12:45:00 19/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:45:00 19/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:45:00 19/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:45:00 19/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:45:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [12:45:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:45:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:45:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:45:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:45:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [12:45:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:45:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:45:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:45:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:20:00 19/09/2009] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [14:20:00 19/09/2009] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 137 u1: kg t0: [14:20:00 19/09/2009] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [14:20:00 19/09/2009] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: COPD ASTHMA t0: [14:20:00 19/09/2009] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [14:20:00 19/09/2009] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [14:20:00 19/09/2009] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [14:20:00 19/09/2009] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: S t0: [14:20:00 19/09/2009] id: Religion el: 1000 cu: MICU-A cg: -1 v1: OTR t0: [14:20:00 19/09/2009] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [14:20:00 19/09/2009] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [14:20:00 19/09/2009] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [14:20:00 19/09/2009] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [14:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [14:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [14:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [14:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [14:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 700 vu: ml
t0: [14:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:30:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [14:30:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:30:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [14:30:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [14:30:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:30:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:30:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:30:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [14:30:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:30:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 19/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 270 rs: Manual st: NotStopd
t0: [14:30:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:30:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:30:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 19/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:30:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 19/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [15:30:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [15:30:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:30:00 19/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:30:00 19/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [15:30:00 19/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [15:30:00 19/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 19/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [15:30:00 19/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 19/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [15:30:00 19/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:30:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [15:30:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:30:00 19/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:30:00 19/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [15:30:00 19/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:30:00 19/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 19/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:30:00 19/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 19/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 19/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [15:30:00 19/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:30:00 19/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:30:00 19/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 19/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:30:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:30:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [15:30:00 19/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [15:30:00 19/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 19/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:30:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [15:30:00 19/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 19/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:30:00 19/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:30:00 19/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 19/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:30:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:30:00 19/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [15:30:00 19/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:30:00 19/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:30:00 19/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 19/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [15:30:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 19/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [15:30:00 19/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [15:30:00 19/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [15:30:00 19/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [15:30:00 19/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [15:30:00 19/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 19/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 19/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:30:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 19/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [15:30:00 19/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [15:30:00 19/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [15:30:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [15:30:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [15:30:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [15:30:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [15:30:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 135 vu: ml t0: [15:30:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [15:30:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:30:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:30:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 19/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 19/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:30:00 19/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [15:30:00 19/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [16:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [16:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [16:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:45:00 19/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT st: NotStopd t0: [16:10:00 19/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:10:00 19/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:10:00 19/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [16:10:00 19/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:10:00 19/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd
t0: [16:10:00 19/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 43.9189 u1: ml/cmH st: NotStopd t0: [16:10:00 19/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:10:00 19/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:10:00 19/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [16:10:00 19/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [16:10:00 19/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [16:10:00 19/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.34 u1: L/min st: NotStopd t0: [16:10:00 19/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:10:00 19/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24.8 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:10:00 19/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:10:00 19/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:10:00 19/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:10:00 19/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:10:00 19/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [16:10:00 19/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [16:10:00 19/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:10:00 19/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:10:00 19/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:10:00 19/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [17:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [17:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [17:30:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:30:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:30:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [17:30:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:30:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [17:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [17:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [17:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 9 vu: ml t0: [17:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 135 vu: ml t0: [17:30:00 19/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [17:30:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:30:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.25 vu: ml t0: [17:30:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:30:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [17:30:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 45 vu: ml t0: [17:30:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [17:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:30:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:30:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [19:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [19:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 19/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 19/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 19/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 19/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 19/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 19/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [20:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 19/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 19/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 19/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 19/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 19/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 19/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [20:00:00 19/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 19/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 19/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 19/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 19/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 19/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 19/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [20:00:00 19/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [20:00:00 19/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [20:00:00 19/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 19/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 122 rs: Manual st: NotStopd t0: [20:00:00 19/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 19/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 19/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 19/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 19/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 19/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 19/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 19/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 19/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [20:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 31.25 vu: ml t0: [20:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [20:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [20:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 225 vu: ml t0: [20:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [19:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [19:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 19/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 39.1566 u1: ml/cmH st: NotStopd t0: [20:00:00 19/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 19/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 19/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [20:00:00 19/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [20:00:00 19/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [20:00:00 19/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [20:00:00 19/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.1 u1: Deg. C st: NotStopd t0: [20:00:00 19/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [20:00:00 19/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [20:00:00 19/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 7.51 u1: L/min st: NotStopd t0: [20:00:00 19/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/m st: NotStopd t0: [20:00:00 19/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 26.6 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [20:00:00 19/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 0 u1: BPM st: NotStopd t0: [20:00:00 19/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [20:00:00 19/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [20:00:00 19/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 19/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 610 u1: ml/B st: NotStopd t0: [20:00:00 19/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 19/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [20:00:00 19/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [20:00:00 19/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [20:00:00 19/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [20:00:00 19/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Combivent st: NotStopd t0: [20:00:00 19/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 2 v2: Flovent st: NotStopd t0: [20:00:00 19/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: White v2: Thick st: NotStopd t0: [20:00:00 19/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Small st: NotStopd
t0: [21:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [21:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [21:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml
t0: [21:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [22:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 6 u1: BPM st: NotStopd t0: [22:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 19/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [22:00:00 19/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 19/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 19/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [22:00:00 19/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 310 vu: ml
t0: [22:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 19/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 19/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1076.5 ap: none t0: [23:00:00 19/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3246.5 ap: none t0: [23:00:00 19/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 2070 ap: none t0: [23:00:00 19/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 4160 ap: none t0: [23:00:00 19/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -913.5 ap: carryForward t0: [23:00:00 19/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 4160 ap: carryForward t0: [23:00:00 19/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -12880 ap: carryForward
t0: [00:00:00 20/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 36.1111 u1: ml/cmH st: NotStopd t0: [00:00:00 20/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 20/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 20/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [00:00:00 20/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [00:00:00 20/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [00:00:00 20/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [00:00:00 20/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.1 u1: Deg. C st: NotStopd t0: [00:00:00 20/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [00:00:00 20/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [00:00:00 20/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Combivent st: NotStopd t0: [00:00:00 20/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 16.8 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/min st: NotStopd t0: [00:00:00 20/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 28 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [00:00:00 20/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 6 u1: BPM st: NotStopd t0: [00:00:00 20/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 18 u1: BPM st: NotStopd t0: [00:00:00 20/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [00:00:00 20/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 100 u1: % st: NotStopd t0: [00:00:00 20/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: White v2: Thick st: NotStopd t0: [00:00:00 20/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 20/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 680 u1: ml/B st: NotStopd t0: [00:00:00 20/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 20/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [00:00:00 20/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [00:00:00 20/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [00:00:00 20/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [23:00:00 19/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [23:00:00 19/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 19/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 19/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 19/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [23:00:00 19/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 19/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 19/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [00:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [00:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 20/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [00:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 20/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [00:00:00 20/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [00:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 90 rs: Manual st: NotStopd
t0: [00:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [00:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [00:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [23:00:00 19/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 19/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 19/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 20/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 2.5 cv: 2.5 ap: none t0: [23:00:00 20/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 32.5 cv: 1149.5 ap: none t0: [23:00:00 20/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 122.5 cv: 3499.5 ap: none t0: [23:00:00 20/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 90 cv: 2250 ap: none t0: [23:00:00 20/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 120 cv: 4350 ap: none t0: [23:00:00 20/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 2.5 cv: -850.5 ap: carryForward t0: [23:00:00 20/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 120 cv: 4350 ap: carryForward t0: [23:00:00 20/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -20 cv: -14330 ap: carryForward
t0: [01:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [01:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 20/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [01:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [01:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml
t0: [01:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [02:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [02:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 20/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [02:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [03:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 20/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [03:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 134 rs: Manual st: NotStopd
t0: [01:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [03:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [03:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [03:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [02:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 20/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 20/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 20/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 20/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 20/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 20/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 20/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 20/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 20/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 20/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 20/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 20/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 20/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 20/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 20/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 20/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 20/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 20/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 20/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 20/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 20/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 20/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 20/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 20/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 20/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 20/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 20/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [00:00:00 20/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 20/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 20/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 20/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 20/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 20/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 20/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 20/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 20/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 20/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [04:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 20/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 20/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 20/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 20/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 20/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 20/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 20/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 20/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 20/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 20/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 134.7 u1: kg st: NotStopd t0: [04:00:00 20/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 20/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 20/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 20/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 20/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 20/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 20/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 20/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 20/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 20/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 20/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [04:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [04:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 280 vu: ml
t0: [04:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 20/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium
t0: [23:00:00 20/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [04:00:00 20/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 26 u1: ml/cmH st: NotStopd t0: [04:00:00 20/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 20/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 20/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [04:00:00 20/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [04:00:00 20/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [04:00:00 20/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [04:00:00 20/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.4 u1: Deg. C st: NotStopd t0: [04:00:00 20/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [04:00:00 20/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [04:00:00 20/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Albuterol st: NotStopd t0: [04:00:00 20/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Atrovent st: NotStopd t0: [04:00:00 20/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/min st: NotStopd t0: [04:00:00 20/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [04:00:00 20/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 5 u1: BPM st: NotStopd t0: [04:00:00 20/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 17 u1: BPM st: NotStopd t0: [04:00:00 20/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [04:00:00 20/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: White v2: Thick st: NotStopd t0: [04:00:00 20/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 20/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 740 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [04:00:00 20/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [04:00:00 20/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [04:00:00 20/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [05:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [05:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [05:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [05:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [06:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [06:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [06:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [05:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:56:00 20/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [05:56:00 20/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [05:56:00 20/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [05:56:00 20/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [05:56:00 20/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [05:56:00 20/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [05:45:00 20/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25 u1: % rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.7 u1: gm/dl rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 245 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.75 u1: /mic l rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [05:56:00 20/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.3123 u1: ml/dl st: NotStopd
t0: [05:45:00 20/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 243 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [05:45:00 20/09/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd
t0: [05:45:00 20/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 70.4 rs: Final st: NotStopd
t0: [08:00:00 20/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 20/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 20/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:00:00 20/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 20/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 20/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 20/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [08:00:00 20/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 20/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [08:00:00 20/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [08:00:00 20/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [08:00:00 20/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 20/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [08:00:00 20/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [08:00:00 20/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [08:00:00 20/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.4 u1: cmH2O st: NotStopd t0: [08:00:00 20/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.81 u1: L/min st: NotStopd t0: [08:00:00 20/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 20/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 20/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 20/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 20/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 20/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 20/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 20/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 20/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [08:00:00 20/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 20/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 20/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 20/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 20/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 20/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 20/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 20/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 20/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [08:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 20/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 20/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 20/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 20/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 20/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 20/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 20/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 20/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 20/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 20/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 20/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 20/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 20/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 20/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 20/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 20/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 20/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [08:00:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 20/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 20/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 20/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 20/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 20/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 20/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 143 rs: Manual st: NotStopd t0: [08:00:00 20/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 20/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [08:00:00 20/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [08:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [08:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none
t0: [10:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 20/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [10:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 20/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 20/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 20/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 20/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [10:00:00 20/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 20/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [10:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [10:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [10:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [10:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:30:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:30:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:30:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:30:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:30:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:30:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [12:30:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 31.25 vu: ml t0: [12:30:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [12:30:00 20/09/2009] tf: [16:00:00 20/09/2009] dt: 210 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:30:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 225 vu: ml
t0: [12:30:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:30:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:30:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:30:00 20/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.1967 u1: ml/cmH st: NotStopd t0: [12:30:00 20/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:30:00 20/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:30:00 20/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 65 u1: cmH2O st: NotStopd t0: [12:30:00 20/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:30:00 20/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.8 st: NotStopd t0: [12:30:00 20/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [12:30:00 20/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 20/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [12:30:00 20/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [12:30:00 20/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [12:30:00 20/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 20/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [12:30:00 20/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [12:30:00 20/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.7 u1: cmH2O st: NotStopd t0: [12:30:00 20/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [12:30:00 20/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 20/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:30:00 20/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33.9 u1: cmH2O st: NotStopd t0: [12:30:00 20/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:30:00 20/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [12:30:00 20/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:30:00 20/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:30:00 20/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 20/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [12:30:00 20/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:30:00 20/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [12:30:00 20/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [12:30:00 20/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:30:00 20/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:30:00 20/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:30:00 20/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 20/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 243 rs: Manual st: NotStopd t0: [13:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [13:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 20/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [13:00:00 20/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [13:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 20/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 232 rs: Manual st: NotStopd
t0: [13:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 6.25 vu: ml t0: [13:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 45 vu: ml t0: [13:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [13:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:30:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:30:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:30:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:30:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:30:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:30:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:30:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:30:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:30:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [14:30:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [14:30:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [14:30:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [14:30:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 135 vu: ml t0: [14:30:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [14:30:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:30:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:30:00 20/09/2009] id: Insulin el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [16:00:00 20/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 20/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 20/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 20/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 20/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 20/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 20/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 20/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 20/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 20/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 20/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 20/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 20/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 20/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 20/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 20/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 20/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 20/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 20/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 20/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 20/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 20/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 20/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 20/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 20/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 20/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:00:00 20/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 20/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 20/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 20/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 20/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 20/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 20/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [16:00:00 20/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [16:00:00 20/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 20/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 20/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 20/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 20/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 20/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [16:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 18.75 vu: ml t0: [16:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [16:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 135 vu: ml t0: [16:00:00 20/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [16:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [16:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [16:00:00 20/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [16:00:00 20/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 20/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 20/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 65 u1: cmH2O st: NotStopd t0: [16:00:00 20/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 20/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [16:00:00 20/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [16:00:00 20/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 20/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [16:00:00 20/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [16:00:00 20/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [16:00:00 20/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 20/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [16:00:00 20/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [16:00:00 20/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.2 u1: cmH2O st: NotStopd t0: [16:00:00 20/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.51 u1: L/min st: NotStopd t0: [16:00:00 20/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 20/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:00:00 20/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 37.3 u1: cmH2O st: NotStopd t0: [16:00:00 20/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:00:00 20/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:00:00 20/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:00:00 20/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 20/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 20/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [16:00:00 20/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 20/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [16:00:00 20/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [16:00:00 20/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 20/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:00:00 20/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:00:00 20/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [18:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 20/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 20/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 20/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 185 rs: Manual st: NotStopd
t0: [18:00:00 20/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [18:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [18:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [18:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/09/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 20/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 22.4138 u1: ml/cmH st: NotStopd t0: [20:00:00 20/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 20/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 20/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 65 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [20:00:00 20/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [20:00:00 20/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [20:00:00 20/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.1 u1: Deg. C st: NotStopd t0: [20:00:00 20/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [20:00:00 20/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [20:00:00 20/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Albuterol st: NotStopd t0: [20:00:00 20/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Atrovent st: NotStopd t0: [20:00:00 20/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Flovent st: NotStopd t0: [20:00:00 20/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 16.8 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 7.8 u1: L/min st: NotStopd t0: [20:00:00 20/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/m st: NotStopd t0: [20:00:00 20/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 39 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [20:00:00 20/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 0 u1: BPM st: NotStopd t0: [20:00:00 20/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [20:00:00 20/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [20:00:00 20/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 100 u1: % st: NotStopd t0: [20:00:00 20/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 630 u1: ml/B st: NotStopd t0: [20:00:00 20/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 20/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [20:00:00 20/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [20:00:00 20/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [20:00:00 20/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [20:00:00 20/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/09/2009] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 20/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 20/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 20/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 20/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 20/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [20:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 20/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 20/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 20/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 20/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 20/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 20/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 20/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 20/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 20/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 20/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 20/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 20/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 20/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 20/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 20/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 20/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 20/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 20/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 20/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 20/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 20/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 20/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 20/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 20/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 20/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 20/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 20/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [20:00:00 20/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 20/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 20/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 20/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 20/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 20/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 20/09/2009] tf: [00:00:00 27/09/2009] dt: 8880 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [20:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [20:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml
t0: [20:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [21:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [21:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [21:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [22:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [22:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [22:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 480 vu: ml
t0: [22:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 20/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 147 rs: Manual st: NotStopd
t0: [23:00:00 20/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [23:00:00 20/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:00:00 20/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 20/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 20/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 20/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 20/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 20/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 20/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 20/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 20/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [23:00:00 20/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 20/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [23:00:00 20/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 20/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 20/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 21.6667 u1: ml/cmH st: NotStopd t0: [23:00:00 20/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 20/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 20/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 65 u1: cmH2O st: NotStopd t0: [23:00:00 20/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [23:00:00 20/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [23:00:00 20/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [23:00:00 20/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.4 u1: Deg. C st: NotStopd t0: [23:00:00 20/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [23:00:00 20/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [23:00:00 20/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 20/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Albuterol st: NotStopd t0: [23:00:00 20/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Atrovent st: NotStopd t0: [23:00:00 20/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 18.1 u1: cmH2O st: NotStopd t0: [23:00:00 20/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 7.5 u1: L/min st: NotStopd t0: [23:00:00 20/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 20/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/m st: NotStopd t0: [23:00:00 20/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 20/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: rrt v1: 27 u1: cmH2O st: NotStopd t0: [23:00:00 20/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [23:00:00 20/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 2 u1: BPM st: NotStopd t0: [23:00:00 20/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 14 u1: BPM st: NotStopd t0: [23:00:00 20/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [23:00:00 20/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 20/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 700 u1: ml/B st: NotStopd t0: [23:00:00 20/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [23:00:00 20/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [23:00:00 20/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [23:00:00 20/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [23:00:00 20/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [23:00:00 20/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 20/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 21/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [00:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 21/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 21/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 21/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 21/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 21/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 21/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 21/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [00:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 21/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 21/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 21/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 21/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 21/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 21/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 21/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 21/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 21/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:00:00 21/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 21/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 21/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 21/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 21/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 21/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 21/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 21/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 21/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 21/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 21/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 21/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 21/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:00:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 21/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 21/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 21/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [00:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [00:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [00:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [01:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [01:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [01:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [01:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [02:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [02:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [02:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [02:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 21/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 128 rs: Manual st: NotStopd
t0: [03:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [03:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [04:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [04:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [03:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 21/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 23.2143 u1: ml/cmH st: NotStopd t0: [04:00:00 21/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 21/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 21/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 65 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [04:00:00 21/09/2009] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 7.0 mm st: NotStopd t0: [04:00:00 21/09/2009] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [04:00:00 21/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 33.6 u1: Deg. C st: NotStopd t0: [04:00:00 21/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 8 v2: 13 st: NotStopd t0: [04:00:00 21/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 3 st: NotStopd t0: [04:00:00 21/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Albuterol st: NotStopd t0: [04:00:00 21/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 4 v2: Atrovent st: NotStopd t0: [04:00:00 21/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 11.1 u1: L/min st: NotStopd t0: [04:00:00 21/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 50 u1: L/m st: NotStopd t0: [04:00:00 21/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 38 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [04:00:00 21/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 6 u1: BPM st: NotStopd t0: [04:00:00 21/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 18 u1: BPM st: NotStopd t0: [04:00:00 21/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 12 u1: BPM st: NotStopd t0: [04:00:00 21/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 21/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 21/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 800 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [04:00:00 21/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 9 u1: # st: NotStopd t0: [04:00:00 21/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [04:00:00 21/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [05:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [05:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [05:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 21/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 21/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [05:00:00 21/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.06 u1: Deg. F st: NotStopd t0: [05:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [05:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [05:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [05:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:27:00 21/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [05:27:00 21/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [05:27:00 21/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 58 u1: mmHg rs: Final st: NotStopd t0: [05:27:00 21/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [05:27:00 21/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:27:00 21/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [00:55:00 21/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.3 u1: % rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: gm/dl rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 254 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.82 u1: /mic l rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:27:00 21/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.3957 u1: ml/dl st: NotStopd
t0: [04:00:00 21/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 21/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 21/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 21/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 21/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 21/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 21/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 21/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 21/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 21/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 21/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 21/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 21/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 21/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 21/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 21/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 21/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 21/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 21/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 21/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 21/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 21/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 21/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 21/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 21/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Formed st: NotStopd t0: [04:00:00 21/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 21/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 21/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 21/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 21/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [06:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [06:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [06:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [06:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [06:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:55:00 21/09/2009] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [00:55:00 21/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [00:55:00 21/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 71.1 rs: Final st: NotStopd
t0: [07:45:00 21/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 25.4902 u1: ml/cmH st: NotStopd t0: [07:45:00 21/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:45:00 21/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:45:00 21/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:45:00 21/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.5 st: NotStopd t0: [07:45:00 21/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [07:45:00 21/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [07:45:00 21/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [07:45:00 21/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [07:45:00 21/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [07:45:00 21/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [07:45:00 21/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [07:45:00 21/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [07:45:00 21/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.2 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.1 u1: L/min st: NotStopd t0: [07:45:00 21/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [07:45:00 21/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 35.5 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.5 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:45:00 21/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [07:45:00 21/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [07:45:00 21/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:45:00 21/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [07:45:00 21/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [07:45:00 21/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [07:45:00 21/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [07:45:00 21/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [07:45:00 21/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [07:45:00 21/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [07:45:00 21/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [07:45:00 21/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 21/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 21/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 21/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 21/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v2: Brown st: NotStopd t0: [08:00:00 21/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [08:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 21/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 21/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 21/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 21/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 21/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 21/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 21/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 21/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 21/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 21/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 21/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 21/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 21/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 21/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 21/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 21/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 21/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 21/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 21/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 21/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 21/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 21/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 21/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 21/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [09:00:00 21/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 21/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [09:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [08:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 128 u1: BPM st: NotStopd t0: [09:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 37.5 vu: ml t0: [09:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 270 vu: ml t0: [10:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [10:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [10:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [09:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 125 u1: BPM st: NotStopd t0: [10:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 21/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.0 mm st: NotStopd t0: [10:00:00 21/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 21/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [10:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [10:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 21/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thin st: NotStopd t0: [10:00:00 21/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 21/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 9 u1: # st: NotStopd t0: [10:00:00 21/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd t0: [10:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 21/09/2009] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [11:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 21/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [11:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [11:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [11:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 21/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.5534 u1: ml/cmH st: NotStopd t0: [12:00:00 21/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 21/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 21/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:00:00 21/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.0 st: NotStopd t0: [12:00:00 21/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [12:00:00 21/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 21/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [12:00:00 21/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [12:00:00 21/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [12:00:00 21/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [12:00:00 21/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [12:00:00 21/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.2 u1: L/min st: NotStopd t0: [12:00:00 21/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [12:00:00 21/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 30.6 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.6 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 21/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 5 u1: BPM st: NotStopd t0: [12:00:00 21/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [12:00:00 21/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:00:00 21/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 21/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 21/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 21/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [12:00:00 21/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 21/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 21/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:00:00 21/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 21/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [12:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 21/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [12:00:00 21/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [12:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 187 rs: Manual st: NotStopd
t0: [12:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [12:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [12:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 21/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [12:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml st: Stopped
t0: [13:45:00 21/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [13:45:00 21/09/2009] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [13:45:00 21/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [13:45:00 21/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd
t0: [14:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [13:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [13:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [13:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [14:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [13:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [15:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [15:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [15:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 21/09/2009] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 21/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 21/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 21/09/2009] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 21/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 21/09/2009] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 21/09/2009] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [14:00:00 21/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 21/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 21/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 21/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 21/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 21/09/2009] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 27 st: NotStopd t0: [14:00:00 21/09/2009] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [14:00:00 21/09/2009] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 21/09/2009] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [14:00:00 21/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 21/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [14:00:00 21/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 21/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 21/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 21/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 21/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 21/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 21/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [15:00:00 21/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 21/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 21/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 21/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 21/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 21/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 21/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 21/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 21/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 21/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 21/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [17:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [16:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [17:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [18:00:00 21/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 36.5169 u1: ml/cmH st: NotStopd t0: [18:00:00 21/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [18:00:00 21/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 21/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [18:00:00 21/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [18:00:00 21/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2 st: NotStopd t0: [18:00:00 21/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [18:00:00 21/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [18:00:00 21/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [18:00:00 21/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [18:00:00 21/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [18:00:00 21/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 21/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [18:00:00 21/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [18:00:00 21/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [18:00:00 21/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.9 u1: L/min st: NotStopd t0: [18:00:00 21/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 21/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [18:00:00 21/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 27.8 u1: cmH2O st: NotStopd t0: [18:00:00 21/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 17.7 u1: cmH2O st: NotStopd t0: [18:00:00 21/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [18:00:00 21/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [18:00:00 21/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [18:00:00 21/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [18:00:00 21/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 21/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 660 u1: ml/B st: NotStopd t0: [18:00:00 21/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [18:00:00 21/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [18:00:00 21/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [18:00:00 21/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [18:00:00 21/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 283 rs: Manual st: NotStopd
t0: [18:00:00 21/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 12.5 vu: ml t0: [18:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [17:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 21/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 21/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 21/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 21/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 21/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 21/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 21/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [18:00:00 21/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [18:00:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/09/2009] tf: [00:00:00 22/09/2009] dt: 540 id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vu: ml nb: 1 t0: [15:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [16:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [17:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml t0: [18:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 90 vu: ml
t0: [18:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 21/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 21/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml
t0: [20:00:00 21/09/2009] id: Arterial BP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 21/09/2009] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 21/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 21/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 21/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 21/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 21/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 21/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 21/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 21/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 21/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 21/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 21/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 21/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 21/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 21/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [20:00:00 21/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 21/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 21/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 21/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 21/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 21/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 21/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [20:00:00 21/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [20:00:00 21/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 21/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [20:00:00 21/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [20:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [20:00:00 21/09/2009] tf: [14:58:00 01/10/2009] dt: 14098 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [20:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 280 vu: ml
t0: [20:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none t0: [23:00:00 21/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 95 ap: none
t0: [20:00:00 21/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 21/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 21/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [20:00:00 21/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 21/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [20:00:00 21/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 32.3383 u1: ml/cmH st: NotStopd t0: [20:00:00 21/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [20:00:00 21/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 21/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 21/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.2 st: NotStopd t0: [20:00:00 21/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:00:00 21/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 21/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [20:00:00 21/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:00:00 21/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 21/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [20:00:00 21/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [20:00:00 21/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [20:00:00 21/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.2 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [20:00:00 21/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 21/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30.1 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24.6 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 21/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [20:00:00 21/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [20:00:00 21/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 21/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [20:00:00 21/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 21/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 21/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:00:00 21/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 21/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 21/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 21/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [22:00:00 21/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 21/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [22:00:00 21/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 115.333 u1: mmHg st: NotStopd t0: [22:00:00 21/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 21/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 21/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 21/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 21/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 21/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 21/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 21/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 21/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 21/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 21/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [22:00:00 21/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 21/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml t0: [22:00:00 21/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [22:00:00 21/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 21/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 21/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 21/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1097.5 ap: none t0: [23:00:00 21/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3082.5 ap: none t0: [23:00:00 21/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1890 ap: none t0: [23:00:00 21/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 3660 ap: none t0: [23:00:00 21/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -637.5 ap: none t0: [23:00:00 21/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 3720 ap: none t0: [23:00:00 21/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -15485 ap: carryForward
t0: [20:00:00 21/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [21:30:00 21/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:30:00 21/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:30:00 21/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:30:00 21/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:30:00 21/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:30:00 21/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:30:00 21/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:30:00 21/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:30:00 21/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:30:00 21/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 22/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 22/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 22/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 22/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 22/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 22/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 22/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 22/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 22/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 22/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 22/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 22/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 22/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 22/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 22/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [00:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 109.333 u1: mmHg st: NotStopd t0: [00:00:00 22/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 22/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 22/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 22/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 22/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 22/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 22/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 22/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 22/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 22/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 22/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 134 rs: Manual st: NotStopd
t0: [00:00:00 22/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [00:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 22/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml st: Stopped t0: [00:00:00 22/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [00:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [00:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 22/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 22/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 22/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 200 ap: none t0: [23:00:00 22/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 705 ap: none t0: [23:00:00 22/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 915 ap: none t0: [23:00:00 22/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 180 ap: none t0: [23:00:00 22/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2590 ap: none t0: [23:00:00 22/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -1875 ap: carryForward t0: [23:00:00 22/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2790 ap: carryForward t0: [23:00:00 22/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -17675 ap: carryForward
t0: [01:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [01:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 22/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:10:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:10:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:10:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:10:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [01:10:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:10:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:10:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:10:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:10:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:10:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:10:00 22/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 22/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 43.6242 u1: ml/cmH st: NotStopd t0: [02:00:00 22/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [02:00:00 22/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 22/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [02:00:00 22/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [02:00:00 22/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.9 st: NotStopd t0: [02:00:00 22/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [02:00:00 22/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 22/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [02:00:00 22/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [02:00:00 22/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [02:00:00 22/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 22/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [02:00:00 22/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [02:00:00 22/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.8 u1: cmH2O st: NotStopd t0: [02:00:00 22/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [02:00:00 22/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 22/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 50 u1: L/m st: NotStopd t0: [02:00:00 22/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24.9 u1: cmH2O st: NotStopd t0: [02:00:00 22/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20.9 u1: cmH2O st: NotStopd t0: [02:00:00 22/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [02:00:00 22/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [02:00:00 22/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [02:00:00 22/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [02:00:00 22/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [02:00:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [02:00:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 22/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [02:00:00 22/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [02:00:00 22/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [02:00:00 22/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [02:00:00 22/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [02:00:00 22/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 126 u1: BPM st: NotStopd t0: [02:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 22/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [02:00:00 22/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Rectal Tube st: NotStopd t0: [02:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 22/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml nb: 1 t0: [00:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [02:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 22/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [02:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 22/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [02:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [02:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 22/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:30:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:30:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:30:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:30:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:30:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:30:00 22/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [03:30:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:30:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:30:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:30:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [03:30:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 22/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 22/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 22/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 22/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 22/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 22/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 22/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 22/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 22/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 22/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 22/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 22/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 22/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 22/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 22/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 22/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 22/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [04:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [04:00:00 22/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 22/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 22/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 22/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 22/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 22/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Rectal Tube st: NotStopd t0: [04:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 22/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [04:00:00 22/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [04:00:00 22/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 22/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 22/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: -5 u1: kg st: NotStopd t0: [04:00:00 22/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [04:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 22/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 22/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 22/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [04:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [03:30:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:30:00 22/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [04:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd
t0: [04:00:00 22/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 22/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml st: Stopped
t0: [04:00:00 22/09/2009] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [05:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [05:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [05:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [05:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [06:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [06:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [06:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [06:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [06:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [06:00:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [06:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 141 rs: Manual st: NotStopd
t0: [06:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 290 vu: ml
t0: [06:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [06:00:00 22/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Clear st: NotStopd
t0: [05:30:00 22/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.3 u1: % rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 200 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.72 u1: /mic l rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [05:30:00 22/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 94 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 131 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [05:30:00 22/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [05:30:00 22/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd
t0: [07:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [07:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [07:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [08:00:00 22/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 42.4837 u1: ml/cmH st: NotStopd t0: [08:00:00 22/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [08:00:00 22/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 22/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 22/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.9 st: NotStopd t0: [08:00:00 22/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:00:00 22/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 22/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 22/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 22/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [08:00:00 22/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [08:00:00 22/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [08:00:00 22/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [08:00:00 22/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.1 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.1 u1: L/min st: NotStopd t0: [08:00:00 22/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:00:00 22/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25.3 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.5 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [08:00:00 22/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [08:00:00 22/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 22/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 22/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [08:00:00 22/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 22/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 22/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:00:00 22/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 22/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [08:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [08:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 22/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 22/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [08:00:00 22/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [08:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [08:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [08:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 22/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 22/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 22/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 22/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 22/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [08:00:00 22/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 22/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 22/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 22/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 22/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 22/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 22/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 22/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 22/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 22/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 22/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Rectal Tube st: NotStopd t0: [08:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 22/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 22/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 22/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 22/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 22/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 22/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 22/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 22/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 22/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 22/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 22/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 22/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 22/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 22/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 22/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 22/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 22/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 22/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [10:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [10:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [10:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 280 vu: ml
t0: [10:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [12:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [12:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [12:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 22/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 22/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 22/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [12:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [10:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 22/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 22/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 22/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 22/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 22/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [12:00:00 22/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 22/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [12:00:00 22/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 22/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 22/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 22/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 22/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 22/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 22/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 22/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 22/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 22/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 22/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 22/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 22/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 22/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 22/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 22/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 22/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 22/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 22/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [13:55:00 22/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 41.6667 u1: ml/cmH st: NotStopd t0: [13:55:00 22/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [13:55:00 22/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [13:55:00 22/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [13:55:00 22/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [13:55:00 22/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.5 st: NotStopd t0: [13:55:00 22/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [13:55:00 22/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:55:00 22/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [13:55:00 22/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [13:55:00 22/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [13:55:00 22/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:55:00 22/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [13:55:00 22/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [13:55:00 22/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.1 u1: cmH2O st: NotStopd t0: [13:55:00 22/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.8 u1: L/min st: NotStopd t0: [13:55:00 22/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:55:00 22/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [13:55:00 22/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25.6 u1: cmH2O st: NotStopd t0: [13:55:00 22/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.1 u1: cmH2O st: NotStopd t0: [13:55:00 22/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [13:55:00 22/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 2 u1: BPM st: NotStopd t0: [13:55:00 22/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:55:00 22/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [13:55:00 22/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [13:55:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [13:55:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [13:55:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [13:55:00 22/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 660 u1: ml/B st: NotStopd t0: [13:55:00 22/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [13:55:00 22/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [13:55:00 22/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [13:55:00 22/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [13:55:00 22/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [14:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [14:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [14:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/09/2009] id: Manual BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2009] id: Manual BP Mean(calc) el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [16:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 22/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 22/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [16:00:00 22/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [16:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [14:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [16:00:00 22/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 22/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 22/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 22/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Pink Tinged st: NotStopd t0: [16:00:00 22/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 22/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 22/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 22/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 22/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 22/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 22/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 22/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 158 rs: Manual st: NotStopd t0: [14:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 22/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 22/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 22/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 22/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 22/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 22/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 22/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [16:00:00 22/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 22/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 22/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 22/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd
t0: [17:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [17:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [17:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [18:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [18:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [17:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [17:29:00 22/09/2009] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.0215 u1: ml/dl st: NotStopd t0: [17:29:00 22/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [17:29:00 22/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [17:29:00 22/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [17:29:00 22/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [17:29:00 22/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [17:29:00 22/09/2009] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [20:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 22/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Clear st: NotStopd t0: [20:00:00 22/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 22/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 22/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 22/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 22/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 22/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 22/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 22/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 22/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 22/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 22/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 22/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 22/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 22/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [20:00:00 22/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 22/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 22/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 22/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 22/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 22/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 22/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 22/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 22/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 22/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 22/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 22/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [20:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [20:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [23:00:00 22/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 30 ap: none
t0: [21:00:00 22/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.0833 u1: ml/cmH st: NotStopd t0: [21:00:00 22/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [21:00:00 22/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 22/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1:3 st: NotStopd t0: [21:00:00 22/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [21:00:00 22/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [21:00:00 22/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [21:00:00 22/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [21:00:00 22/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.8 u1: cmH2O st: NotStopd t0: [21:00:00 22/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.5 u1: L/min st: NotStopd t0: [21:00:00 22/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 22/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [21:00:00 22/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [21:00:00 22/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.3 u1: cmH2O st: NotStopd t0: [21:00:00 22/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [21:00:00 22/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 22/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 22/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 22/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 660 u1: ml/B st: NotStopd t0: [21:00:00 22/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [21:00:00 22/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [21:00:00 22/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [21:00:00 22/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd t0: [21:40:00 22/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [21:40:00 22/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [21:40:00 22/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [21:40:00 22/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [22:00:00 22/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 22/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 22/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 22/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 22/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 22/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 22/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [22:00:00 22/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 22/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 22/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 22/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 22/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [22:00:00 22/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 22/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 22/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 22/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 22/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 22/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 22/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 22/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 22/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 22/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 22/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [22:00:00 22/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [22:00:00 22/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 22/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [22:00:00 22/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [21:00:00 22/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd
t0: [21:00:00 22/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [21:00:00 22/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:50:00 22/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [21:50:00 22/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 70 u1: L/m st: NotStopd
t0: [22:00:00 22/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [22:00:00 22/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [22:00:00 22/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd
t0: [22:00:00 22/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [00:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 23/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 23/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Clear st: NotStopd t0: [00:00:00 23/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 23/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [00:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 23/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 23/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 23/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 23/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 23/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 23/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 23/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 23/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 96.3333 u1: mmHg st: NotStopd t0: [00:00:00 23/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [00:00:00 23/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 23/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [00:00:00 23/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 23/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 23/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 23/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 23/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [00:00:00 23/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 113 rs: Manual st: NotStopd t0: [00:00:00 23/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 22/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [00:00:00 23/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 23/09/2009] id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [00:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [00:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [23:00:00 22/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward t0: [23:00:00 23/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 23/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 20 cv: 20 ap: none t0: [23:00:00 23/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 40 ap: none t0: [23:00:00 23/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 640 ap: none t0: [23:00:00 23/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 20 cv: 640 ap: none t0: [23:00:00 23/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 23/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1340 ap: none t0: [23:00:00 23/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 20 cv: -740 ap: none t0: [23:00:00 23/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1380 ap: none t0: [23:00:00 23/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 20 cv: -18655 ap: carryForward
t0: [00:00:00 23/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 23/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:00:00 23/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 23/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 23/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 23/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 23/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [00:30:00 23/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.9524 u1: ml/cmH st: NotStopd t0: [00:30:00 23/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [00:30:00 23/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:30:00 23/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:30:00 23/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [00:30:00 23/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:30:00 23/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 23/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:30:00 23/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:30:00 23/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:30:00 23/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:30:00 23/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [00:30:00 23/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [00:30:00 23/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 70 u1: L/m st: NotStopd t0: [00:30:00 23/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:30:00 23/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:30:00 23/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:30:00 23/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:30:00 23/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:30:00 23/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [00:30:00 23/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:30:00 23/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:30:00 23/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [00:30:00 23/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 23/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:30:00 23/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:30:00 23/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:30:00 23/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:30:00 23/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [02:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 23/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [02:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [02:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [02:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 23/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 23/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd
t0: [02:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [02:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [02:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [04:00:00 23/09/2009] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [04:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 23/09/2009] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 23/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [04:00:00 23/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 23/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 23/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [04:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 23/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 23/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 23/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 23/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 23/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 23/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 23/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 23/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [04:00:00 23/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [04:00:00 23/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 23/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 23/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [04:00:00 23/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 23/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 23/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [04:00:00 23/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [04:00:00 23/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 23/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 23/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [04:00:00 23/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 23/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [04:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [05:00:00 23/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 23/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 23/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 23/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 23/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 23/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 23/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 23/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 23/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 129.7 u1: kg st: NotStopd t0: [05:00:00 23/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 23/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 23/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 23/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: -11.4 u1: kg st: NotStopd t0: [05:00:00 23/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd
t0: [04:45:00 23/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.2609 u1: ml/cmH st: NotStopd t0: [04:45:00 23/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [04:45:00 23/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:45:00 23/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [04:45:00 23/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:45:00 23/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [04:45:00 23/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:45:00 23/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:45:00 23/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:45:00 23/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [04:45:00 23/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [04:45:00 23/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:45:00 23/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:45:00 23/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [04:45:00 23/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:45:00 23/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [04:45:00 23/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:45:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 70 u1: L/m st: NotStopd t0: [04:45:00 23/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [04:45:00 23/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:45:00 23/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:45:00 23/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:45:00 23/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:45:00 23/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:45:00 23/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:45:00 23/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:45:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [04:45:00 23/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [04:45:00 23/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:45:00 23/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [04:45:00 23/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:45:00 23/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:45:00 23/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:45:00 23/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [06:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [06:00:00 23/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 23/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 23/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [06:00:00 23/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 128 rs: Manual st: NotStopd
t0: [06:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [06:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [06:08:00 23/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.1 u1: % rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.5 u1: gm/dl rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 185 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.72 u1: /mic l rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.8 rs: Final st: NotStopd
t0: [06:08:00 23/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 32.2 rs: Final st: NotStopd
t0: [06:08:00 23/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:08:00 23/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [06:08:00 23/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd
t0: [08:00:00 23/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 24.9042 u1: ml/cmH st: NotStopd t0: [08:00:00 23/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 23/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 23/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [08:00:00 23/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.2 st: NotStopd t0: [08:00:00 23/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:00:00 23/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 23/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [08:00:00 23/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 23/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 23/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 23/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [08:00:00 23/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [08:00:00 23/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.4 u1: L/min st: NotStopd t0: [08:00:00 23/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 70 u1: L/m st: NotStopd t0: [08:00:00 23/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 36.1 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 29.9 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 23/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [08:00:00 23/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [08:00:00 23/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [08:00:00 23/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 23/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 23/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 23/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 23/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [08:00:00 23/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 23/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [08:00:00 23/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:00:00 23/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 23/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [08:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [08:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 23/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 23/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 23/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [08:00:00 23/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 23/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 23/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 23/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 23/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [08:00:00 23/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 23/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 23/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 23/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 23/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [08:00:00 23/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 23/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 23/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [08:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 23/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 23/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 23/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd
t0: [08:00:00 23/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 23/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 23/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 23/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 23/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [08:00:00 23/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 23/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 23/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 23/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd
t0: [10:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [10:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 97.6667 u1: mmHg st: NotStopd t0: [10:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [10:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [11:00:00 23/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 262 rs: Manual st: NotStopd
t0: [12:00:00 23/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 23/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [12:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 23/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 23/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 23/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 23/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 23/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 23/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 23/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [12:00:00 23/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 23/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [12:00:00 23/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 23/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 23/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [12:00:00 23/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 23/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 23/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 23/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 23/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 23/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 23/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 23/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 23/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 23/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 23/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 23/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 23/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 23/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 23/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 23/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 23/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 23/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 23/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 23/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 23/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 23/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 23/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 23/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd
t0: [12:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [12:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [12:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [12:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [12:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 23/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [12:00:00 23/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 21.3816 u1: ml/cmH st: NotStopd t0: [12:00:00 23/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 23/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 23/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:00:00 23/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1 st: NotStopd t0: [12:00:00 23/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [12:00:00 23/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 23/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [12:00:00 23/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [12:00:00 23/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:00:00 23/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 23/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [12:00:00 23/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.1 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.9 u1: L/min st: NotStopd t0: [12:00:00 23/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 70 u1: L/m st: NotStopd t0: [12:00:00 23/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40.4 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 25.2 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 23/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [12:00:00 23/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [12:00:00 23/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [12:00:00 23/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 23/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 23/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [12:00:00 23/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 23/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 930 u1: ml/B st: NotStopd t0: [12:00:00 23/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 23/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [12:00:00 23/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [12:00:00 23/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:00:00 23/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 23/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 23/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.5 u1: L/min st: NotStopd t0: [13:00:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [13:00:00 23/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [13:00:00 23/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 23/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 23/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [13:00:00 23/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [13:35:00 23/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [13:35:00 23/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [13:35:00 23/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.3 st: NotStopd t0: [13:35:00 23/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [13:35:00 23/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [13:35:00 23/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:35:00 23/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 21.4 u1: cmH2O st: NotStopd t0: [13:35:00 23/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:35:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [13:35:00 23/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40.1 u1: cmH2O st: NotStopd t0: [13:35:00 23/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 27.8 u1: cmH2O st: NotStopd t0: [13:35:00 23/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [13:35:00 23/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd
t0: [14:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [14:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [14:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [14:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [13:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [16:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [16:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [16:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [16:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 23/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 23/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 23/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [16:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [16:00:00 23/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 23/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 23/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 23/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 23/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 23/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [16:00:00 23/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 23/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [16:00:00 23/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 23/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 23/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [16:00:00 23/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 23/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 23/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 23/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 23/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [14:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 23/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 23/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 23/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd
t0: [16:00:00 23/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 23/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 23/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 23/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 23/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 23/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 23/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 23/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 23/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 23/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 23/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 23/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 23/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 23/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 23/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [17:30:00 23/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 30.2326 u1: ml/cmH st: NotStopd t0: [17:30:00 23/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [17:30:00 23/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [17:30:00 23/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [17:30:00 23/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.3 st: NotStopd t0: [17:30:00 23/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [17:30:00 23/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [17:30:00 23/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [17:30:00 23/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [17:30:00 23/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [17:30:00 23/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [17:30:00 23/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [17:30:00 23/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.1 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.4 u1: L/min st: NotStopd t0: [17:30:00 23/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 50 u1: L/m st: NotStopd t0: [17:30:00 23/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 31.5 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [17:30:00 23/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: -1 v1: 4 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [17:30:00 23/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:30:00 23/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:30:00 23/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:30:00 23/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [17:30:00 23/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [17:30:00 23/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 690 u1: ml/B st: NotStopd t0: [17:30:00 23/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [17:30:00 23/09/2009] id: Total PEEP Level el: 0 cu: MICU-A cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [17:30:00 23/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [17:30:00 23/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [17:30:00 23/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [17:30:00 23/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [18:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [18:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [18:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [18:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [19:30:00 23/09/2009] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [20:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 23/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: OR Received st: NotStopd t0: [20:00:00 23/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 23/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 23/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd
t0: [20:10:00 23/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [20:10:00 23/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:10:00 23/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:10:00 23/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:10:00 23/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:10:00 23/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [20:10:00 23/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:10:00 23/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:10:00 23/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:10:00 23/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:10:00 23/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:10:00 23/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:10:00 23/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:10:00 23/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [20:10:00 23/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [20:10:00 23/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:10:00 23/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [20:10:00 23/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:10:00 23/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:10:00 23/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:10:00 23/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:10:00 23/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:10:00 23/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [20:10:00 23/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:10:00 23/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:10:00 23/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:10:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:10:00 23/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [20:10:00 23/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:10:00 23/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [20:10:00 23/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:10:00 23/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:10:00 23/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:10:00 23/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:10:00 23/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:10:00 23/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:10:00 23/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:10:00 23/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [20:10:00 23/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [20:10:00 23/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [20:10:00 23/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [20:10:00 23/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd
t0: [20:00:00 23/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 173 rs: Manual st: NotStopd t0: [20:30:00 23/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:30:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 23/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:30:00 23/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable st: NotStopd t0: [20:30:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 23/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:30:00 23/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 23/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:30:00 23/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:30:00 23/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:30:00 23/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:30:00 23/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:30:00 23/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [20:30:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:30:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 23/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:30:00 23/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:30:00 23/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:30:00 23/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:30:00 23/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:30:00 23/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:30:00 23/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:30:00 23/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:30:00 23/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:30:00 23/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:30:00 23/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:30:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:30:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85.6667 u1: mmHg st: NotStopd t0: [20:30:00 23/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 23/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 23/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:30:00 23/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:30:00 23/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable st: NotStopd t0: [20:30:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [20:30:00 23/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:30:00 23/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:30:00 23/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:30:00 23/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:30:00 23/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:30:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:30:00 23/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:30:00 23/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:30:00 23/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:30:00 23/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:30:00 23/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:30:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:30:00 23/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:30:00 23/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:30:00 23/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v2: Clear st: NotStopd t0: [20:30:00 23/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 23/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:30:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 23/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anesthetized st: NotStopd t0: [20:30:00 23/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [20:30:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [20:30:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [20:30:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [20:00:00 23/09/2009] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [22:00:00 23/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 23/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 23/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [22:00:00 23/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [22:00:00 23/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 23/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 23/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [22:00:00 23/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [22:00:00 23/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [23:00:00 24/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -200 cv: -18880 ap: carryForward
t0: [23:00:00 23/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [23:03:00 23/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [23:03:00 23/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [23:03:00 23/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [23:03:00 23/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 126 u1: mmHg rs: Final st: NotStopd t0: [23:03:00 23/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [00:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 24/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 24/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 24/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 24/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 24/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 24/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 24/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 24/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 24/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [00:00:00 24/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 24/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 24/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 24/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 24/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 24/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [00:00:00 24/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 24/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 24/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 24/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 24/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 24/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 24/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 24/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 188 rs: Manual st: NotStopd t0: [00:00:00 24/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 24/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 24/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 24/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 24/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 24/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 24/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 24/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [20:10:00 23/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 40.625 u1: ml/cmH st: NotStopd t0: [00:30:00 24/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 24/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:30:00 24/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:30:00 24/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [00:30:00 24/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:30:00 24/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 24/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:30:00 24/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:30:00 24/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:30:00 24/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:30:00 24/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [00:30:00 24/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [00:30:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:30:00 24/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:30:00 24/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:30:00 24/09/2009] id: Auto-PEEP Level el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:30:00 24/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:30:00 24/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:30:00 24/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:30:00 24/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [00:30:00 24/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:30:00 24/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [00:30:00 24/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [00:30:00 24/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 24/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:30:00 24/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:30:00 24/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [02:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [02:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [02:00:00 24/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [02:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [21:00:00 23/09/2009] tf: [11:00:00 30/09/2009] dt: 9480 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 23/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [02:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [04:30:00 24/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 22.8 u1: % rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.1 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 176 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.61 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.8 rs: Final st: NotStopd
t0: [04:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [04:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [04:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 24/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 24/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 24/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 24/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd
t0: [04:00:00 24/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 24/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 145 vu: ml
t0: [04:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [05:10:00 24/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 43.3333 u1: ml/cmH st: NotStopd t0: [05:10:00 24/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:10:00 24/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:10:00 24/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:10:00 24/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:10:00 24/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [05:10:00 24/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [05:10:00 24/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:10:00 24/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:10:00 24/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [05:10:00 24/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [05:10:00 24/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:10:00 24/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [05:10:00 24/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [05:10:00 24/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.5 u1: cmH2O st: NotStopd t0: [05:10:00 24/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [05:10:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:10:00 24/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [05:10:00 24/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [05:10:00 24/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [05:10:00 24/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:10:00 24/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:10:00 24/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:10:00 24/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:10:00 24/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:10:00 24/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:10:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [05:10:00 24/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [05:10:00 24/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [05:10:00 24/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:10:00 24/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:10:00 24/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [05:10:00 24/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:10:00 24/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [05:10:00 24/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:10:00 24/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:30:00 24/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:30:00 24/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [06:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [06:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [06:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [06:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [08:00:00 24/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 24/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 24/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 24/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3 st: NotStopd t0: [08:00:00 24/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:00:00 24/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 24/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [08:00:00 24/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 24/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [08:00:00 24/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 24/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [08:00:00 24/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [08:00:00 24/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12.4 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.99 u1: L/min st: NotStopd t0: [08:00:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [08:00:00 24/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 24/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 10 u1: . st: NotStopd t0: [08:00:00 24/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [08:00:00 24/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 24/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 24/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 24/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [08:00:00 24/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [08:00:00 24/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [08:00:00 24/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [08:00:00 24/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [08:00:00 24/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [08:00:00 24/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:00:00 24/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 24/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [09:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 103.667 u1: mmHg st: NotStopd t0: [09:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [09:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 24/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:00:00 24/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [09:00:00 24/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [09:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [08:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [10:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [10:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [08:00:00 24/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 24/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 24/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 24/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 24/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 24/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 24/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [08:00:00 24/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 24/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 24/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 24/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 24/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 24/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 24/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 24/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 24/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [09:00:00 24/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [09:00:00 24/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [09:00:00 24/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [09:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 24/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 24/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [09:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [09:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 24/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [09:00:00 24/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 24/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 24/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [09:00:00 24/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [09:00:00 24/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 24/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 24/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 24/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [09:00:00 24/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [09:00:00 24/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [09:00:00 24/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [10:00:00 24/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [10:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [10:00:00 24/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [10:00:00 24/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 24/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [10:00:00 24/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 24/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [10:00:00 24/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 24/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 24/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 24/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [10:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [10:00:00 24/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [10:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [12:00:00 24/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 141 rs: Manual st: NotStopd
t0: [12:20:00 24/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [12:20:00 24/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:20:00 24/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:20:00 24/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:20:00 24/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:20:00 24/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1.4 st: NotStopd t0: [12:20:00 24/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [12:20:00 24/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:20:00 24/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [12:20:00 24/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [12:20:00 24/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:20:00 24/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:20:00 24/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:20:00 24/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [12:20:00 24/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: cmH2O st: NotStopd t0: [12:20:00 24/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [12:20:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:20:00 24/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [12:20:00 24/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:20:00 24/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:20:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [12:20:00 24/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:20:00 24/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [12:20:00 24/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [12:20:00 24/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [12:20:00 24/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [12:20:00 24/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [12:20:00 24/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [12:20:00 24/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:20:00 24/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [12:35:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd
t0: [12:35:00 24/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 45 u1: BPM st: NotStopd
t0: [11:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [11:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [11:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [11:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [11:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [12:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [12:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [13:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [13:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [13:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [13:00:00 24/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 24/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.7 u1: cmH2O st: NotStopd t0: [13:00:00 24/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.51 u1: L/min st: NotStopd t0: [13:00:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 24/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 15 u1: . st: NotStopd t0: [13:00:00 24/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 24/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [13:00:00 24/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd
t0: [11:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [14:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [14:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 24/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 24/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [14:00:00 24/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 24/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [14:00:00 24/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [14:00:00 24/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [14:00:00 24/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [14:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [14:00:00 24/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [14:00:00 24/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [14:00:00 24/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 24/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 24/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [14:00:00 24/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [14:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 24/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [14:00:00 24/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [14:00:00 24/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 24/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 24/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 24/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [14:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 24/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [14:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 24/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 24/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [14:00:00 24/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [14:00:00 24/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 24/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 24/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 24/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 24/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 24/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [14:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [14:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [14:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [14:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [16:50:00 24/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [16:50:00 24/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:50:00 24/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:50:00 24/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:50:00 24/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:50:00 24/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2.2 st: NotStopd t0: [16:50:00 24/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [16:50:00 24/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:50:00 24/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [16:50:00 24/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [16:50:00 24/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:50:00 24/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:50:00 24/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:50:00 24/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [16:50:00 24/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: cmH2O st: NotStopd t0: [16:50:00 24/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [16:50:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:50:00 24/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [16:50:00 24/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:50:00 24/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:50:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [16:50:00 24/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:50:00 24/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:50:00 24/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [16:50:00 24/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [16:50:00 24/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [16:50:00 24/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [16:50:00 24/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [16:50:00 24/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:50:00 24/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:50:00 24/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:30:00 24/09/2009] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd
t0: [11:00:00 24/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN st: NotStopd t0: [14:00:00 24/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN st: NotStopd t0: [15:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [15:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [15:00:00 24/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 24/09/2009] id: Radiologic Study el: 0 cu: MICU-A cg: RN st: NotStopd t0: [15:00:00 24/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [15:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 24/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 24/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 24/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [17:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [17:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [17:00:00 24/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [17:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [18:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 24/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [18:00:00 24/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 24/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [18:00:00 24/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 24/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Abrasion st: NotStopd t0: [18:00:00 24/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [18:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [18:00:00 24/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 24/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 24/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [18:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 118.3 u1: kg st: NotStopd t0: [18:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 24/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [18:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 24/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 24/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [18:00:00 24/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [18:00:00 24/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 24/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 263 rs: Manual st: NotStopd
t0: [17:00:00 24/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [17:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [18:00:00 24/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [15:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
id: Packed RBC's el: 1 cu: MICU-A cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [20:15:00 24/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:15:00 24/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:15:00 24/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:15:00 24/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:15:00 24/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:15:00 24/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:15:00 24/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:15:00 24/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [20:15:00 24/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:15:00 24/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:15:00 24/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:15:00 24/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:15:00 24/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [20:15:00 24/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 2 v2: Flovent st: NotStopd t0: [20:15:00 24/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [20:15:00 24/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [20:15:00 24/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:15:00 24/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [20:15:00 24/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [20:15:00 24/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:15:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:15:00 24/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:15:00 24/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [20:15:00 24/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [20:15:00 24/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [20:15:00 24/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [20:15:00 24/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [20:15:00 24/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [20:15:00 24/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:15:00 24/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:15:00 24/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [20:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [20:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [20:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 24/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 24/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 24/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 24/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [21:00:00 24/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [21:00:00 24/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [21:00:00 24/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [21:00:00 24/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [21:00:00 24/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [21:00:00 24/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [21:00:00 24/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [21:00:00 24/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: Coude Catheter st: NotStopd t0: [21:00:00 24/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 15 st: NotStopd t0: [21:00:00 24/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 24/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 15 st: NotStopd t0: [21:00:00 24/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: Drainage st: NotStopd t0: [21:00:00 24/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [21:00:00 24/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [21:00:00 24/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [21:00:00 24/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [21:00:00 24/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [21:00:00 24/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 24/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 24/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [21:00:00 24/09/2009] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [21:00:00 24/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 24/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [21:00:00 24/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [21:00:00 24/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 24/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [21:00:00 24/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [21:00:00 24/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [21:00:00 24/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [21:00:00 24/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [21:00:00 24/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [21:00:00 24/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [21:00:00 24/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [21:00:00 24/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [21:00:00 24/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [21:00:00 24/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [19:00:00 24/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [19:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 24/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [20:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [20:30:00 24/09/2009] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml nb: 1
t0: [19:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [19:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [19:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [19:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [19:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 24/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 24/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 24/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 24/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 24/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 24/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [21:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [21:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75.3333 u1: mmHg st: NotStopd t0: [21:00:00 24/09/2009] id: Pain Management el: 0 cu: MICU-A cg: -1 v1: IV Push st: NotStopd t0: [21:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 24/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [21:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [21:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [21:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 24/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [21:00:00 24/09/2009] id: Untoward Effect el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 24/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [22:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [22:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 24/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 24/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 80.6667 u1: mmHg st: NotStopd t0: [22:00:00 24/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 24/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 24/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [22:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 11 u1: BPM st: NotStopd t0: [22:00:00 24/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 24/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [22:00:00 24/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [22:00:00 24/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [22:00:00 24/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 24/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 24/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 24/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 24/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 24/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [23:00:00 24/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 24/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 24/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 24/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [23:00:00 24/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 24/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 24/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 24/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [22:00:00 24/09/2009] tf: [00:00:00 25/09/2009] dt: 120 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml t0: [23:00:00 24/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [23:00:00 24/09/2009] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 225 vu: ml t0: [23:00:00 24/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [23:00:00 24/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 220 vu: ml
t0: [19:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 24/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [23:00:00 24/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 220 cv: 220 ap: none t0: [23:00:00 24/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 45 cv: 45 ap: none t0: [23:00:00 24/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 40 cv: 1010 ap: none t0: [23:00:00 24/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 265 cv: 1515 ap: none t0: [23:00:00 24/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 130 ap: none t0: [23:00:00 24/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 220 cv: 1095 ap: none t0: [23:00:00 24/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 45 cv: 420 ap: none t0: [23:00:00 24/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 220 cv: 1095 ap: none t0: [23:00:00 24/09/2009] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: -1 pv: 225 cv: 375 ap: none t0: [23:00:00 25/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 10 cv: -20355 ap: carryForward
t0: [00:27:00 25/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:27:00 25/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:27:00 25/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:27:00 25/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:27:00 25/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:27:00 25/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:27:00 25/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:27:00 25/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [00:27:00 25/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:27:00 25/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:27:00 25/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:27:00 25/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:27:00 25/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [00:27:00 25/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.1 u1: cmH2O st: NotStopd t0: [00:27:00 25/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [00:27:00 25/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:27:00 25/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:27:00 25/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [00:27:00 25/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:27:00 25/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:27:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:27:00 25/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:27:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [00:27:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:27:00 25/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [00:27:00 25/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [00:27:00 25/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [00:27:00 25/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [00:27:00 25/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [00:27:00 25/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [00:27:00 25/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:27:00 25/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:27:00 25/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 25/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [00:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 25/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 25/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 25/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 25/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [00:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 102 rs: Manual st: NotStopd t0: [01:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 25/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [01:00:00 25/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [01:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 25/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [01:00:00 25/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [01:00:00 25/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [01:00:00 25/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [01:00:00 25/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [01:00:00 25/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: Coude Catheter st: NotStopd t0: [01:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 100 u1: BPM st: NotStopd t0: [01:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 25/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [01:00:00 25/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [01:00:00 25/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Abrasion st: NotStopd t0: [01:00:00 25/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Open to Air st: NotStopd t0: [01:00:00 25/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [01:00:00 25/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [01:00:00 25/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [01:00:00 25/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [01:00:00 25/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [01:00:00 25/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 25/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [01:00:00 25/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 25/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [01:00:00 25/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [01:00:00 25/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [01:00:00 25/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [01:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [01:00:00 25/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Restraint DC'd st: NotStopd t0: [01:00:00 25/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [01:00:00 25/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [01:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 25/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [01:00:00 25/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [01:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 25/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Appropriate st: NotStopd t0: [01:00:00 25/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [01:00:00 25/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [01:00:00 25/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Problem st: NotStopd t0: [01:00:00 25/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [01:00:00 25/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [01:00:00 25/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Very Poor st: NotStopd t0: [01:00:00 25/09/2009] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [01:00:00 25/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [02:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 25/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 93 u1: BPM st: NotStopd t0: [02:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 25/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 31 st: NotStopd t0: [02:00:00 25/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 25/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 15 st: NotStopd t0: [02:00:00 25/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: Bleeding st: NotStopd t0: [02:00:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 25/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 91.3333 u1: mmHg st: NotStopd t0: [02:00:00 25/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 25/09/2009] id: Pain Management el: 0 cu: MICU-A cg: -1 v1: IV Push st: NotStopd t0: [02:00:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [02:00:00 25/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 25/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [02:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 25/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [02:00:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 25/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [02:00:00 25/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [02:00:00 25/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [02:00:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [02:00:00 25/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 25/09/2009] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped t0: [01:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [02:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [02:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [02:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [00:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [23:00:00 25/09/2009] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: none
t0: [03:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [03:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 85.6667 u1: mmHg st: NotStopd t0: [03:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 25/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [03:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [03:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [04:00:00 25/09/2009] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [02:00:00 25/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Anxious st: NotStopd t0: [03:00:00 25/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Restraint DC'd st: NotStopd t0: [03:00:00 25/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Appropriate st: NotStopd t0: [04:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 25/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [04:00:00 25/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 25/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 25/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 25/09/2009] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 25/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [04:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 25/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Tender st: NotStopd t0: [04:00:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 25/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 25/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 25/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [04:00:00 25/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 82.6667 u1: mmHg st: NotStopd t0: [04:00:00 25/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 25/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 25/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 25/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 25/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 118.3 u1: kg st: NotStopd t0: [04:00:00 25/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 25/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 25/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [04:00:00 25/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [04:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [05:07:00 25/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [05:07:00 25/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:07:00 25/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:07:00 25/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:07:00 25/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:07:00 25/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:07:00 25/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:07:00 25/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [05:07:00 25/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:07:00 25/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [05:07:00 25/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [05:07:00 25/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:07:00 25/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:07:00 25/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [05:07:00 25/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [05:07:00 25/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: cmH2O st: NotStopd t0: [05:07:00 25/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [05:07:00 25/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:07:00 25/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [05:07:00 25/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [05:07:00 25/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [05:07:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [05:07:00 25/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:07:00 25/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [05:07:00 25/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [05:07:00 25/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [05:07:00 25/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [05:07:00 25/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [05:07:00 25/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [05:07:00 25/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [05:07:00 25/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [05:07:00 25/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:30:00 25/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.2 u1: % rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 148 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.85 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd
t0: [04:30:00 25/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [04:30:00 25/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [04:00:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [04:00:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [05:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [05:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [05:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [05:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 91.3333 u1: mmHg st: NotStopd t0: [05:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 25/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [05:00:00 25/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [05:00:00 25/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [05:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [06:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 90.6667 u1: mmHg st: NotStopd t0: [06:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [06:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [06:00:00 25/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [06:00:00 25/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [06:00:00 25/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: Coude Catheter st: NotStopd t0: [06:00:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [06:00:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 25/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 25/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 25/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 25/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [06:00:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [06:00:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [06:00:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 25/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Pink v2: Clear st: NotStopd t0: [06:00:00 25/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd
t0: [06:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 25/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [06:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [07:31:00 25/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:31:00 25/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:31:00 25/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [07:31:00 25/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:31:00 25/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [07:31:00 25/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:31:00 25/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [07:31:00 25/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [07:31:00 25/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [07:31:00 25/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [07:31:00 25/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [07:31:00 25/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:31:00 25/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [07:31:00 25/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [07:31:00 25/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [07:31:00 25/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.5 u1: cmH2O st: NotStopd t0: [07:31:00 25/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.6 u1: L/min st: NotStopd t0: [07:31:00 25/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:31:00 25/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 15 u1: . st: NotStopd t0: [07:31:00 25/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [07:31:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [07:31:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [07:31:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [07:31:00 25/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [07:31:00 25/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [07:31:00 25/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [07:31:00 25/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [07:31:00 25/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [07:31:00 25/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [07:31:00 25/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [07:31:00 25/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [08:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 185 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [08:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 25/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 25/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 25/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd
t0: [08:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [08:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [09:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 90 u1: BPM st: NotStopd t0: [09:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 89.3333 u1: mmHg st: NotStopd t0: [09:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [09:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [10:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [10:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [10:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 90 vu: ml
t0: [10:30:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:30:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:30:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:30:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:30:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:30:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:30:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 25/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [10:30:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:30:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml
t0: [10:30:00 25/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [10:30:00 25/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [10:30:00 25/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:30:00 25/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:30:00 25/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [10:30:00 25/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [10:30:00 25/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [10:30:00 25/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [10:30:00 25/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [10:30:00 25/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [10:30:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:30:00 25/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 31 st: NotStopd t0: [10:30:00 25/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:30:00 25/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [10:30:00 25/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:30:00 25/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [10:30:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:30:00 25/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [10:30:00 25/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:30:00 25/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [10:30:00 25/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:30:00 25/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [10:30:00 25/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:30:00 25/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [10:30:00 25/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:30:00 25/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:30:00 25/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:30:00 25/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:30:00 25/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:30:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:30:00 25/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [10:30:00 25/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:30:00 25/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:30:00 25/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 25/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:30:00 25/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:30:00 25/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [10:30:00 25/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:30:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [10:30:00 25/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Red v2: Other/Remarks st: NotStopd t0: [10:30:00 25/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:30:00 25/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:30:00 25/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:30:00 25/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [10:30:00 25/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [10:30:00 25/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [10:30:00 25/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [10:30:00 25/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [10:30:00 25/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [10:30:00 25/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [10:30:00 25/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [10:30:00 25/09/2009] tf: [15:31:00 25/09/2009] dt: 301 id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 180 vu: ml
t0: [11:44:00 25/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:44:00 25/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:44:00 25/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [11:44:00 25/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [11:44:00 25/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [11:44:00 25/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:44:00 25/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [11:44:00 25/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [11:44:00 25/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [11:44:00 25/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [11:44:00 25/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [11:44:00 25/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:44:00 25/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 10 v2: Albuterol st: NotStopd t0: [11:44:00 25/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [11:44:00 25/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 8.3 u1: cmH2O st: NotStopd t0: [11:44:00 25/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 14.1 u1: L/min st: NotStopd t0: [11:44:00 25/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:44:00 25/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [11:44:00 25/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 32 u1: BPM st: NotStopd t0: [11:44:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [11:44:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [11:44:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [11:44:00 25/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [11:44:00 25/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [11:44:00 25/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [11:44:00 25/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [11:44:00 25/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [11:44:00 25/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [11:44:00 25/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [11:44:00 25/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [11:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [11:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 181 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 111.667 u1: mmHg st: NotStopd t0: [11:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 25/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [11:00:00 25/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [11:00:00 25/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [11:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 25/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 152 rs: Manual st: NotStopd
t0: [11:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 2.5 vu: ml t0: [11:00:00 25/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 20 vu: ml t0: [11:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [11:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [12:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 101 u1: BPM st: NotStopd t0: [12:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 181 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 111.667 u1: mmHg st: NotStopd t0: [12:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [12:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [12:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 25/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v2: Off st: NotStopd t0: [12:00:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 25/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [12:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 25/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 25/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml
t0: [23:00:00 25/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 230 ap: none
t0: [12:00:00 25/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 21.6 rs: Final st: NotStopd
t0: [13:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [13:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 168 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [13:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [13:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [13:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 25/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 40 vu: ml t0: [13:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [13:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [14:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [14:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [14:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 25/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [14:00:00 25/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [14:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 25/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 40 vu: ml t0: [14:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 310 vu: ml
t0: [14:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
id: Heparin el: 200 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: Tube Feeding el: 1 cu: MICU-A cg: RN io: Tube Feeding PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [15:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [15:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 90.6667 u1: mmHg st: NotStopd t0: [15:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [15:31:00 25/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [15:30:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:30:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [15:30:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:30:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:30:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [15:30:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:30:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:30:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [15:30:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:30:00 25/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:30:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:30:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:30:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:30:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 25/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [15:30:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [15:30:00 25/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml nb: 1 t0: [15:30:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [15:30:00 25/09/2009] id: Replete w/fiber 250.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [15:30:00 25/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large
t0: [15:30:00 25/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:30:00 25/09/2009] tf: [00:00:00 29/09/2009] dt: 4830 id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:30:00 25/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 0 vu: ml nb: 1
t0: [16:11:00 25/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:11:00 25/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:11:00 25/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:11:00 25/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [16:11:00 25/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:11:00 25/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:11:00 25/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [16:11:00 25/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:11:00 25/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [16:11:00 25/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [16:11:00 25/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [16:11:00 25/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:11:00 25/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 10 v2: Albuterol st: NotStopd t0: [16:11:00 25/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [16:11:00 25/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10.2 u1: cmH2O st: NotStopd t0: [16:11:00 25/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.9 u1: L/min st: NotStopd t0: [16:11:00 25/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:11:00 25/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [16:11:00 25/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 11 u1: BPM st: NotStopd t0: [16:11:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [16:11:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [16:11:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:11:00 25/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 990 u1: ml/B st: NotStopd t0: [16:11:00 25/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [16:11:00 25/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [16:11:00 25/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [16:11:00 25/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [16:11:00 25/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [16:11:00 25/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [16:11:00 25/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:11:00 25/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 25/09/2009] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 25/09/2009] id: Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 25/09/2009] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 25/09/2009] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 25/09/2009] id: Restraint Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 25/09/2009] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [18:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [18:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 25/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 25/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [18:00:00 25/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 25/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [18:00:00 25/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [18:00:00 25/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 25/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [18:00:00 25/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [18:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 31 st: NotStopd t0: [18:00:00 25/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 25/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 25/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 25/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [18:00:00 25/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 25/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 25/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [18:00:00 25/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 25/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 25/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 25/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [18:00:00 25/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 25/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 25/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 25/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 25/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 25/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 25/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 25/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 25/09/2009] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 25/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 25/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [18:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 25/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [18:00:00 25/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 25/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 25/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [18:00:00 25/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [18:00:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 25/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clots st: NotStopd t0: [18:00:00 25/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 25/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [18:00:00 25/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 25/09/2009] tf: [03:00:00 29/09/2009] dt: 4860 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [18:00:00 25/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 31.25 vu: ml t0: [18:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [18:00:00 25/09/2009] tf: [16:01:00 26/09/2009] dt: 1321 id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 25 vu: ml t0: [18:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [18:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 25/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 25/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [20:00:00 25/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [20:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [20:00:00 25/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 25/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 112 u1: BPM st: NotStopd t0: [20:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 25/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [20:00:00 25/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 25/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 25/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [20:00:00 25/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [20:00:00 25/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 25/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 25/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 25/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 25/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Tachypneic st: NotStopd t0: [20:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [20:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 25/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 25/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 25/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 25/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [20:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 25/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 25/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 25/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd
t0: [19:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 25/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 10 vu: ml t0: [20:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 25/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 50 vu: ml t0: [20:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 250 vu: ml
t0: [20:00:00 25/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [20:00:00 25/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 126 rs: Manual st: NotStopd t0: [21:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [21:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [21:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 100 u1: BPM st: NotStopd t0: [21:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/09/2009] tf: [14:58:00 01/10/2009] dt: 8338 id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vo: 300 vu: ml t0: [21:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 25/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 10 vu: ml
t0: [21:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 25/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 300 ap: carryForward
t0: [21:30:00 25/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [21:30:00 25/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:30:00 25/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:30:00 25/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:30:00 25/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:30:00 25/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:30:00 25/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [21:30:00 25/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [21:30:00 25/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:30:00 25/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [21:30:00 25/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [21:30:00 25/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:30:00 25/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:30:00 25/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 8 v2: Albuterol st: NotStopd t0: [21:30:00 25/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [21:30:00 25/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [21:30:00 25/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.3 u1: cmH2O st: NotStopd t0: [21:30:00 25/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [21:30:00 25/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:30:00 25/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [21:30:00 25/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:30:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [21:30:00 25/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:30:00 25/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [21:30:00 25/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:30:00 25/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 930 u1: ml/B st: NotStopd t0: [21:30:00 25/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [21:30:00 25/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [21:30:00 25/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [21:30:00 25/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [21:30:00 25/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [21:30:00 25/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [21:30:00 25/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [21:30:00 25/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [21:00:00 25/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [21:00:00 25/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [21:00:00 25/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [22:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [22:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [22:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 85.6667 u1: mmHg st: NotStopd t0: [22:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [22:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 25/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 12.5 vu: ml t0: [22:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [22:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [22:15:00 25/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [22:15:00 25/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [22:15:00 25/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 42.7 rs: Final st: NotStopd
t0: [21:00:00 25/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 31 st: NotStopd t0: [21:00:00 25/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 25/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 15 st: NotStopd t0: [21:00:00 25/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [23:00:00 25/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 25/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [23:00:00 25/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [23:00:00 25/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [23:00:00 25/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 25/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 25/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 25/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [23:00:00 25/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 25/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [23:00:00 25/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip
t0: [23:00:00 25/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 20 cv: 20 ap: none t0: [23:00:00 25/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 20 cv: 2300 ap: none t0: [23:00:00 25/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 20 cv: 2600 ap: carryForward
t0: [22:00:00 25/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 10 vu: ml t0: [23:00:00 25/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 20 vu: ml
t0: [23:00:00 25/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 20 cv: 505 ap: none
t0: [21:00:00 25/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 12.5 vu: ml t0: [23:00:00 25/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 25/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [23:00:00 25/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml
t0: [23:00:00 25/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 30 cv: 30 ap: none t0: [23:00:00 25/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 30 cv: 638.75 ap: none t0: [23:00:00 25/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1373.75 ap: none t0: [23:00:00 25/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 30 cv: -1226.25 ap: carryForward
t0: [00:06:00 26/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:06:00 26/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:06:00 26/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:06:00 26/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:06:00 26/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:06:00 26/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:06:00 26/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:06:00 26/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:06:00 26/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:06:00 26/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [00:06:00 26/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:06:00 26/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:06:00 26/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:06:00 26/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:06:00 26/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:06:00 26/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.2 u1: cmH2O st: NotStopd t0: [00:06:00 26/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [00:06:00 26/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:06:00 26/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [00:06:00 26/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:06:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:06:00 26/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:06:00 26/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 940 u1: ml/B st: NotStopd t0: [00:06:00 26/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [00:06:00 26/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [00:06:00 26/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [00:06:00 26/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [00:06:00 26/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [00:06:00 26/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:06:00 26/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:06:00 26/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [00:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [00:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [00:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [00:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [00:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 20 vu: ml t0: [00:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [22:00:00 25/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 26/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [00:00:00 26/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 26/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [00:00:00 26/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: Coude Catheter st: NotStopd t0: [00:00:00 26/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [00:00:00 26/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 26/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 15 st: NotStopd t0: [00:00:00 26/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [00:00:00 26/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 26/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 26/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 26/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 26/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [00:00:00 26/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 26/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 26/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 26/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 26/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 26/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [00:00:00 26/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 26/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 26/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 26/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [01:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [01:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [01:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [01:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 20 vu: ml t0: [01:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [01:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [01:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 26/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [02:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [02:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [02:00:00 26/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [02:00:00 26/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [02:00:00 26/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [02:00:00 26/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: Coude Catheter st: NotStopd t0: [02:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 104 u1: BPM st: NotStopd t0: [02:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [02:00:00 26/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 100.667 u1: mmHg st: NotStopd t0: [02:00:00 26/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [02:00:00 26/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [02:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [02:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 26/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 26/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [02:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 26/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Appropriate st: NotStopd
t0: [02:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [02:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 20 vu: ml t0: [02:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [02:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 25/09/2009] id: Pain Cause el: 0 cu: MICU-A cg: -1 v1: Wound st: NotStopd t0: [21:00:00 25/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Abdominal st: NotStopd t0: [21:00:00 25/09/2009] id: Pain Management el: 0 cu: MICU-A cg: -1 v1: IV Push st: NotStopd t0: [21:00:00 25/09/2009] id: Untoward Effect el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 26/09/2009] id: Pain Cause el: 0 cu: MICU-A cg: -1 v1: Wound st: NotStopd t0: [02:00:00 26/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Abdominal st: NotStopd t0: [02:00:00 26/09/2009] id: Pain Management el: 0 cu: MICU-A cg: -1 v1: IV Push st: NotStopd t0: [02:00:00 26/09/2009] id: Untoward Effect el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd
t0: [21:00:00 25/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 26/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 26/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [02:00:00 26/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 26/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 26/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [02:00:00 26/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 26/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [03:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [03:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [03:00:00 26/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [03:00:00 26/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [03:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 105 u1: BPM st: NotStopd t0: [03:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [03:00:00 26/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 94.6667 u1: mmHg st: NotStopd t0: [03:00:00 26/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [03:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [03:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 26/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [03:00:00 26/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [03:00:00 26/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [03:00:00 26/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [03:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [03:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 20 vu: ml t0: [03:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [03:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:20:00 26/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:20:00 26/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:20:00 26/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:20:00 26/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:20:00 26/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:20:00 26/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:20:00 26/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:20:00 26/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:20:00 26/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:20:00 26/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:20:00 26/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [04:20:00 26/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:20:00 26/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:20:00 26/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:20:00 26/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:20:00 26/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.7 u1: cmH2O st: NotStopd t0: [04:20:00 26/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [04:20:00 26/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:20:00 26/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [04:20:00 26/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [04:20:00 26/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:20:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:20:00 26/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:20:00 26/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [04:20:00 26/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:20:00 26/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [04:20:00 26/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:20:00 26/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:20:00 26/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [04:20:00 26/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:20:00 26/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:20:00 26/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [04:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [04:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 102 u1: BPM st: NotStopd t0: [04:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 95.3333 u1: mmHg st: NotStopd t0: [04:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [04:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [05:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [05:00:00 26/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [05:00:00 26/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [05:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 98 u1: BPM st: NotStopd t0: [05:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [05:00:00 26/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 161 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 95.6667 u1: mmHg st: NotStopd t0: [05:00:00 26/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [05:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [05:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 26/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [05:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 26/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [04:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 9 vu: ml t0: [04:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [04:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 20 vu: ml t0: [05:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [05:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml t0: [05:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [04:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 26/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [05:00:00 26/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Introducer v2: Right Radial st: NotStopd t0: [05:00:00 26/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 15 st: NotStopd t0: [05:00:00 26/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [05:00:00 26/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 26/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [05:00:00 26/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [05:00:00 26/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [05:00:00 26/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [05:00:00 26/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [05:00:00 26/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [05:00:00 26/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [05:00:00 26/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [05:00:00 26/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [05:00:00 26/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [05:00:00 26/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [05:00:00 26/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 137 rs: Manual st: NotStopd t0: [06:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [06:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [06:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 88 u1: BPM st: NotStopd t0: [06:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 103.667 u1: mmHg st: NotStopd t0: [06:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 38 u1: BPM st: NotStopd t0: [06:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [06:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [06:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml
t0: [06:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [05:00:00 26/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [05:00:00 26/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 26/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [05:00:00 26/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [05:00:00 26/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [05:00:00 26/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 26/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 26/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [05:00:00 26/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [05:00:00 26/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Tachypneic st: NotStopd t0: [05:00:00 26/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [07:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [07:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 109 u1: BPM st: NotStopd t0: [07:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Tachy st: NotStopd t0: [07:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 142 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 83.3333 u1: mmHg st: NotStopd t0: [07:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [07:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [07:00:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped t0: [07:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml t0: [07:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [07:00:00 26/09/2009] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [07:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:01:00 26/09/2009] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [05:32:00 26/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.1 u1: % rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 168 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.23 u1: /mic l rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd
t0: [05:32:00 26/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd
t0: [08:13:00 26/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:13:00 26/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:13:00 26/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [08:13:00 26/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [08:13:00 26/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:13:00 26/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:13:00 26/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:13:00 26/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:13:00 26/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:13:00 26/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:13:00 26/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [08:13:00 26/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:13:00 26/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:13:00 26/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:13:00 26/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [08:13:00 26/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 8.6 u1: cmH2O st: NotStopd t0: [08:13:00 26/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.4 u1: L/min st: NotStopd t0: [08:13:00 26/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:13:00 26/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [08:13:00 26/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [08:13:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:13:00 26/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [08:13:00 26/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [08:13:00 26/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [08:13:00 26/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [08:13:00 26/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [08:13:00 26/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [08:13:00 26/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:13:00 26/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [05:32:00 26/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 74.2 rs: Final st: NotStopd
t0: [08:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [08:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [08:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [08:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [08:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [08:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 26/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 26/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 26/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 26/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 26/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 26/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 26/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 26/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 26/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [08:00:00 26/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [08:00:00 26/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 26/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [05:32:00 26/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [05:32:00 26/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:32:00 26/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd
t0: [10:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 26/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 26/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [10:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd
t0: [08:00:00 26/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [10:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 30 vu: ml nb: 1 t0: [10:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 60 vu: ml t0: [10:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [23:00:00 26/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none
t0: [11:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN st: NotStopd t0: [11:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [11:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Arrhythmia st: NotStopd t0: [11:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [11:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [11:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [11:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:30:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:30:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:30:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Arrhythmia st: NotStopd t0: [11:30:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:30:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:30:00 26/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [11:30:00 26/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:30:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 26/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 26/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [11:00:00 26/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [11:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [11:00:00 26/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 26/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 26/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [11:30:00 26/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:30:00 26/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [11:30:00 26/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:30:00 26/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [11:00:00 26/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 80.3 rs: Final st: NotStopd
t0: [11:45:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:45:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [11:45:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:45:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [11:45:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:45:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:45:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 243 rs: Manual st: NotStopd
t0: [12:00:00 26/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 26/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 26/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.0 mm st: NotStopd t0: [12:00:00 26/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 26/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [12:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 26/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RN v1: Assist Control st: NotStopd t0: [12:00:00 26/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 9 u1: # st: NotStopd t0: [12:00:00 26/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd t0: [12:00:00 26/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RN v1: RAMP st: NotStopd
t0: [12:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [12:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [12:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [12:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [12:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml
t0: [12:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.2609 u1: ml/cmH st: NotStopd t0: [12:00:00 26/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:00:00 26/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 26/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 26/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 26/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:00:00 26/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:00:00 26/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 26/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 26/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:00:00 26/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 26/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [12:00:00 26/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 26/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [12:00:00 26/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 26/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [12:00:00 26/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 26/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 26/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 26/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd
t0: [13:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [13:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [13:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [13:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 26/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [13:00:00 26/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [13:00:00 26/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [13:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [13:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [13:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [13:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [12:00:00 26/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [14:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [14:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [14:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [14:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [14:02:00 26/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [14:02:00 26/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [14:02:00 26/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [14:02:00 26/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [14:02:00 26/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [14:02:00 26/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [14:02:00 26/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [14:02:00 26/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [14:02:00 26/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [14:02:00 26/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [14:02:00 26/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [14:02:00 26/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [14:02:00 26/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [14:02:00 26/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [14:02:00 26/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12.2 u1: cmH2O st: NotStopd t0: [14:02:00 26/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.5 u1: L/min st: NotStopd t0: [14:02:00 26/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [14:02:00 26/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [14:02:00 26/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [14:02:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:02:00 26/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [14:02:00 26/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [14:02:00 26/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [14:02:00 26/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [14:26:00 26/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [14:26:00 26/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [14:26:00 26/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [14:26:00 26/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [14:26:00 26/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
id: Peptamen el: 1 cu: MICU-A cg: RN io: Peptamen Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [15:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [15:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [15:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 41 u1: BPM st: NotStopd t0: [15:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [15:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [15:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [15:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 26/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [16:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [16:00:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml
t0: [15:00:00 26/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [16:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [16:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 0 vu: ml nb: 1
t0: [16:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:01:00 26/09/2009] id: Tube Feeding PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 0 st: D/C'd
t0: [16:00:00 26/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 26/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [16:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [16:00:00 26/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 26/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 26/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 26/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 26/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [14:00:00 26/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 26/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [15:00:00 26/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [15:00:00 26/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 26/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 26/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [16:31:00 26/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:31:00 26/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:31:00 26/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:31:00 26/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [16:31:00 26/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:31:00 26/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [16:31:00 26/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [16:31:00 26/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:31:00 26/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [16:31:00 26/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [16:31:00 26/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [16:31:00 26/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:31:00 26/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.7 u1: cmH2O st: NotStopd t0: [16:31:00 26/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8 u1: L/min st: NotStopd t0: [16:31:00 26/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:31:00 26/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 8 u1: BPM st: NotStopd t0: [16:31:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:31:00 26/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 1000 u1: ml/B st: NotStopd t0: [16:31:00 26/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [16:31:00 26/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [16:31:00 26/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [16:31:00 26/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [17:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [17:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [17:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 52.6667 u1: mmHg st: NotStopd t0: [17:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [17:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 26/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [17:00:00 26/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [17:00:00 26/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [17:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [17:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [17:00:00 26/09/2009] tf: [10:00:00 28/09/2009] dt: 2460 id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 40 vu: ml t0: [17:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [17:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [18:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [18:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [18:00:00 26/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 40 vu: ml t0: [18:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [18:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 26/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 184 rs: Manual st: NotStopd
t0: [08:00:00 26/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 26/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 26/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 26/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 26/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 26/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [18:00:00 26/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 26/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [18:00:00 26/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [18:00:00 26/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [18:00:00 26/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd
t0: [18:00:00 26/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 26/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 26/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 26/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 26/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [18:00:00 26/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [18:00:00 26/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 26/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 26/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [18:00:00 26/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 26/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Consist. Moist st: NotStopd t0: [18:00:00 26/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:00:00 26/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 9 u1: number st: NotStopd t0: [18:00:00 26/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [18:30:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [18:30:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [18:30:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [18:30:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:30:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/09/2009] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 26/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [14:00:00 26/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 st: NotStopd t0: [14:00:00 26/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Introducer v2: Right Radial st: NotStopd t0: [14:00:00 26/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 26/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 26/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 26/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 26/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 26/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 26/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 26/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 26/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [20:00:00 26/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 26/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 26/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 26/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 26/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 26/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 26/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 26/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 26/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 26/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 26/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [20:00:00 26/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 26/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 26/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 26/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 26/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 26/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [20:00:00 26/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 26/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 26/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 26/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 26/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 26/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [20:00:00 26/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 26/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 26/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 26/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 26/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 26/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 26/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 30 vu: ml t0: [20:00:00 26/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 80 vu: ml t0: [20:00:00 26/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [20:00:00 26/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 26/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 26/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1074 ap: none t0: [23:00:00 26/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1774 ap: none t0: [23:00:00 26/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 650 ap: none t0: [23:00:00 26/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 870 ap: none t0: [23:00:00 26/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 904 ap: none t0: [23:00:00 26/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 870 ap: none t0: [23:00:00 26/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -19806 ap: carryForward
t0: [20:30:00 26/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:30:00 26/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:30:00 26/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:30:00 26/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:30:00 26/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:30:00 26/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:30:00 26/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 50 u1: BPM st: NotStopd t0: [20:30:00 26/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:30:00 26/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 26/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [20:30:00 26/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [20:30:00 26/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:30:00 26/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:30:00 26/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:30:00 26/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:30:00 26/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [20:30:00 26/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.3 u1: cmH2O st: NotStopd t0: [20:30:00 26/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [20:30:00 26/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:30:00 26/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:30:00 26/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [20:30:00 26/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 7 u1: BPM st: NotStopd t0: [20:30:00 26/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:30:00 26/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:30:00 26/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 1110 u1: ml/B st: NotStopd t0: [20:30:00 26/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [20:30:00 26/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [20:30:00 26/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [20:30:00 26/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [20:30:00 26/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [20:30:00 26/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:30:00 26/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:30:00 26/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 27/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 27/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 27/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 27/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 27/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [00:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 27/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 27/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 27/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 27/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 27/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 27/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 27/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 27/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [00:00:00 27/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 27/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 27/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 27/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [00:00:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 27/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [00:00:00 27/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [00:00:00 27/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 27/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 27/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 111 rs: Manual st: NotStopd t0: [00:00:00 27/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 60 vu: ml t0: [00:00:00 27/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 160 vu: ml t0: [00:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [00:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1200 ap: none t0: [23:00:00 27/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3065 ap: none t0: [23:00:00 27/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 465 ap: none t0: [23:00:00 27/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1400 ap: none t0: [23:00:00 27/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2765 ap: none
t0: [00:00:00 27/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:00:00 27/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 27/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 27/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:00:00 27/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 50 u1: BPM st: NotStopd t0: [00:00:00 27/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:00:00 27/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 27/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [00:00:00 27/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [00:00:00 27/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 27/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 27/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 27/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [00:00:00 27/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:00:00 27/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [00:00:00 27/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [00:00:00 27/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 27/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [00:00:00 27/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 27/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [00:00:00 27/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [00:00:00 27/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 27/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [00:00:00 27/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 27/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:00:00 27/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:30:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [00:30:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 27/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd
t0: [00:00:00 27/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large
t0: [00:00:00 27/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 27/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 27/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 27/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [01:30:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [01:30:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [03:45:00 27/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 23.8 u1: % rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 154 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.7 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd
t0: [02:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [02:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [02:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [02:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [02:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [03:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 27/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [04:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 27/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 27/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 27/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 27/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [04:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 27/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 27/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 27/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 27/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 27/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 27/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.0 mm st: NotStopd t0: [04:00:00 27/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 27/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 27/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.6667 u1: mmHg st: NotStopd t0: [04:00:00 27/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 27/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 27/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 27/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 27/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 27/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [04:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 27/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [04:00:00 27/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 27/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 27/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 27/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 27/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RN v1: 8/29 st: NotStopd t0: [04:00:00 27/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RN v1: #8 st: NotStopd t0: [04:00:00 27/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RN v1: Shiley st: NotStopd t0: [04:00:00 27/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 27/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [04:00:00 27/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 9 u1: # st: NotStopd t0: [04:00:00 27/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd t0: [04:00:00 27/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 27/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 27/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 60 vu: ml t0: [04:00:00 27/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 200 vu: ml t0: [04:00:00 27/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [04:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1000 vu: ml
t0: [02:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [03:45:00 27/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 74.7 rs: Final st: NotStopd
t0: [04:46:00 27/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:46:00 27/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:46:00 27/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:46:00 27/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:46:00 27/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:46:00 27/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:46:00 27/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 50 u1: BPM st: NotStopd t0: [04:46:00 27/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:46:00 27/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:46:00 27/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [04:46:00 27/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 13 st: NotStopd t0: [04:46:00 27/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:46:00 27/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:46:00 27/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:46:00 27/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:46:00 27/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: cmH2O st: NotStopd t0: [04:46:00 27/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [04:46:00 27/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:46:00 27/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [04:46:00 27/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [04:46:00 27/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 31 u1: BPM st: NotStopd t0: [04:46:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:46:00 27/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:46:00 27/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:46:00 27/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:46:00 27/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [04:46:00 27/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:46:00 27/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:46:00 27/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [04:46:00 27/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:46:00 27/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:46:00 27/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [03:45:00 27/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 115 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:45:00 27/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [04:00:00 27/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [06:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [06:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [06:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 40 u1: BPM st: NotStopd t0: [06:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 27/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 158 rs: Manual st: NotStopd
t0: [06:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 30 vu: ml t0: [06:00:00 27/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [06:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 100 vu: ml t0: [06:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 650 vu: ml
t0: [06:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:40:00 27/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:40:00 27/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:40:00 27/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [07:40:00 27/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:40:00 27/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:40:00 27/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [07:40:00 27/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [07:40:00 27/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [07:40:00 27/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [07:40:00 27/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [07:40:00 27/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [07:40:00 27/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:40:00 27/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [07:40:00 27/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [07:40:00 27/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Flovent st: NotStopd t0: [07:40:00 27/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.9 u1: cmH2O st: NotStopd t0: [07:40:00 27/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.8 u1: L/min st: NotStopd t0: [07:40:00 27/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:40:00 27/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [07:40:00 27/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:40:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [07:40:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [07:40:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [07:40:00 27/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 660 u1: ml/B st: NotStopd t0: [07:40:00 27/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [07:40:00 27/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [07:40:00 27/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [08:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [08:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [08:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 27/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [08:00:00 27/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [08:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 27/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [09:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 45 vu: ml t0: [09:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 180 vu: ml t0: [09:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [08:00:00 27/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 27/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 27/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 27/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 27/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 27/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 27/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 27/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [08:00:00 27/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 27/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 27/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [09:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [09:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml
t0: [09:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 27/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 27/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [09:00:00 27/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd
t0: [09:00:00 27/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [09:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [09:00:00 27/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 27/09/2009] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [09:00:00 27/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd
t0: [09:00:00 27/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [08:00:00 27/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.7 u1: % rs: Final st: NotStopd
t0: [10:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [10:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [10:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [10:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 60 vu: ml
t0: [10:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 123 u1: BPM st: NotStopd t0: [11:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [11:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [11:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [11:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [11:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 60 vu: ml t0: [11:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [11:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [12:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [12:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 101.333 u1: mmHg st: NotStopd t0: [12:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [12:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 27/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [12:00:00 27/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [12:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [12:00:00 27/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [12:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 60 vu: ml
t0: [12:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:12:00 27/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:12:00 27/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:12:00 27/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [12:12:00 27/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:12:00 27/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [12:12:00 27/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:12:00 27/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [12:12:00 27/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10.6 u1: cmH2O st: NotStopd t0: [12:12:00 27/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.5 u1: L/min st: NotStopd t0: [12:12:00 27/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:12:00 27/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [12:12:00 27/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 11 u1: BPM st: NotStopd t0: [12:12:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:12:00 27/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 870 u1: ml/B st: NotStopd t0: [12:12:00 27/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [12:12:00 27/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:12:00 27/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [09:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [09:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [10:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [12:00:00 27/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 27/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 27/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 27/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 27/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [12:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 27/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 264 rs: Manual st: NotStopd t0: [13:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [13:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [13:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [13:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 70 vu: ml t0: [13:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [13:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [14:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [14:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [14:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 70 vu: ml t0: [14:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [14:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.3333 u1: mmHg st: NotStopd
t0: [13:00:00 27/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [15:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [15:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [15:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [15:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 70 vu: ml t0: [15:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [15:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [16:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [16:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 27/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [16:00:00 27/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [16:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [16:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 70 vu: ml t0: [16:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [16:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:35:00 27/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:35:00 27/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:35:00 27/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:35:00 27/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [16:35:00 27/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [16:35:00 27/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:35:00 27/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [16:35:00 27/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [16:35:00 27/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:35:00 27/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [16:35:00 27/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [16:35:00 27/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10.4 u1: cmH2O st: NotStopd t0: [16:35:00 27/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.5 u1: L/min st: NotStopd t0: [16:35:00 27/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:35:00 27/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [16:35:00 27/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [16:35:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:35:00 27/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 980 u1: ml/B st: NotStopd t0: [16:35:00 27/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [16:35:00 27/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [16:35:00 27/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [16:35:00 27/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [16:35:00 27/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [16:35:00 27/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [16:35:00 27/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [17:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 27/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 27/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 27/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 27/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [17:00:00 27/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 27/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [17:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [17:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 27/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [17:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 70 vu: ml t0: [17:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [18:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [18:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [18:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [18:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 70 vu: ml t0: [18:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [18:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 27/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 27/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 27/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [18:00:00 27/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 27/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [18:00:00 27/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [18:00:00 27/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 27/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 27/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [18:00:00 27/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 27/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [18:00:00 27/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 27/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 27/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 27/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 27/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 27/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [18:00:00 27/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [20:00:00 27/09/2009] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 27/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/09/2009] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [20:00:00 27/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 27/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 27/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 27/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 27/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 27/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 27/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 27/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 27/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 27/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 27/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 27/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 27/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 27/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 27/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 27/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 27/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [20:00:00 27/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 27/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 27/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [20:00:00 27/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 27/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 27/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [20:00:00 27/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 27/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 27/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 27/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [20:00:00 27/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [20:00:00 27/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 27/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 27/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 27/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 27/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 27/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 27/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 27/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Excellent st: NotStopd t0: [20:00:00 27/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 30 vu: ml t0: [20:00:00 27/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 160 vu: ml t0: [20:00:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [20:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 27/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 27/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 300 ap: carryForward t0: [23:00:00 27/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2765 ap: carryForward t0: [23:00:00 27/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -19866 ap: carryForward
t0: [20:12:00 27/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:12:00 27/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:12:00 27/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:12:00 27/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:12:00 27/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:12:00 27/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:12:00 27/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 70 u1: BPM st: NotStopd t0: [20:12:00 27/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [20:12:00 27/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:12:00 27/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [20:12:00 27/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [20:12:00 27/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:12:00 27/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:12:00 27/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:12:00 27/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:12:00 27/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [20:12:00 27/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: cmH2O st: NotStopd t0: [20:12:00 27/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.76 u1: L/min st: NotStopd t0: [20:12:00 27/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:12:00 27/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:12:00 27/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [20:12:00 27/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:12:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [20:12:00 27/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:12:00 27/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 1060 u1: ml/B st: NotStopd t0: [20:12:00 27/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [20:12:00 27/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [20:12:00 27/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [20:12:00 27/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [20:12:00 27/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [20:12:00 27/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:12:00 27/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:12:00 27/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [22:00:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [22:00:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [22:00:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:30:00 27/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 27/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [23:30:00 27/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [23:30:00 27/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:30:00 27/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:30:00 27/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [23:30:00 27/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [23:30:00 27/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [23:30:00 27/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [23:30:00 27/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [23:30:00 27/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:30:00 27/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 125 u1: BPM st: NotStopd t0: [23:30:00 27/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [23:30:00 27/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [23:30:00 27/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:30:00 27/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [23:30:00 27/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [23:30:00 27/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [23:30:00 27/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:30:00 27/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:30:00 27/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [23:30:00 27/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:30:00 27/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [23:30:00 27/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [23:30:00 27/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:30:00 27/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:30:00 27/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [23:30:00 27/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:30:00 27/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [23:30:00 27/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [23:30:00 27/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:30:00 27/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:30:00 27/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [23:30:00 27/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:30:00 27/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:30:00 27/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:30:00 27/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [23:30:00 27/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:30:00 27/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [23:30:00 27/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:30:00 27/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:30:00 27/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:30:00 27/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:30:00 27/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [23:30:00 27/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [23:30:00 27/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [23:30:00 27/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [23:30:00 27/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [23:30:00 27/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [23:30:00 27/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:30:00 27/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [23:30:00 27/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [23:30:00 27/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:30:00 27/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [23:30:00 27/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [23:30:00 27/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [23:30:00 27/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:30:00 27/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 27/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [23:30:00 27/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 110 rs: Manual st: NotStopd t0: [23:30:00 27/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [23:30:00 27/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [23:30:00 27/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 35 vu: ml t0: [23:30:00 27/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 52.5 vu: ml t0: [23:30:00 27/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 280 vu: ml t0: [23:30:00 27/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [23:30:00 27/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [23:30:00 27/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 28/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 28/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1400 ap: none t0: [23:00:00 28/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2980 ap: none t0: [23:00:00 28/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 380 ap: none t0: [23:00:00 28/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1120 ap: none t0: [23:00:00 28/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1655 ap: none t0: [23:00:00 28/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 945 ap: none t0: [23:00:00 28/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2035 ap: none t0: [23:00:00 28/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -19281 ap: carryForward
t0: [20:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [21:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [22:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Frothy st: NotStopd t0: [22:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 27/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 27/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Frothy st: NotStopd t0: [00:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:31:00 28/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:31:00 28/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:31:00 28/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:31:00 28/09/2009] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:31:00 28/09/2009] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:31:00 28/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:31:00 28/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 70 u1: BPM st: NotStopd t0: [00:31:00 28/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [00:31:00 28/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:31:00 28/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [00:31:00 28/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [00:31:00 28/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:31:00 28/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:31:00 28/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:31:00 28/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:31:00 28/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: cmH2O st: NotStopd t0: [00:31:00 28/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [00:31:00 28/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:31:00 28/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:31:00 28/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [00:31:00 28/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:31:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:31:00 28/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:31:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:31:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:31:00 28/09/2009] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [00:31:00 28/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [00:31:00 28/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [00:31:00 28/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [00:31:00 28/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [00:31:00 28/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [00:31:00 28/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:31:00 28/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:31:00 28/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:30:00 28/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 25 u1: . st: NotStopd
t0: [00:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 125 u1: BPM st: NotStopd t0: [00:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [00:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 42 u1: BPM st: NotStopd t0: [00:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [01:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [01:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 38 u1: BPM st: NotStopd t0: [01:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 128 u1: BPM st: NotStopd t0: [02:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [02:00:00 28/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [02:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [02:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [02:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 37.5 vu: ml t0: [02:00:00 28/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 200 vu: ml t0: [02:00:00 28/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [02:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [01:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:50:00 28/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [02:50:00 28/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [02:50:00 28/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd
t0: [01:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [01:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [02:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [02:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [03:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 152 u1: BPM st: NotStopd t0: [03:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 177 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [03:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 112.333 u1: mmHg st: NotStopd t0: [03:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [03:00:00 28/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [03:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [03:00:00 28/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Chest Pain st: NotStopd t0: [03:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [03:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [03:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:15:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:15:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [03:15:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:15:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:15:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [03:15:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:15:00 28/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:15:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:15:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:45:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:45:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [03:45:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:45:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 124 u1: BPM st: NotStopd t0: [03:45:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [03:45:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:45:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [03:45:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:45:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [03:45:00 28/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [03:45:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:45:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:45:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [03:00:00 28/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 80 vu: ml t0: [03:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [03:45:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [03:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:15:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:45:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 28/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 28/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 28/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 28/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Red v2: Clots st: NotStopd t0: [00:00:00 28/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 28/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [04:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 28/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 28/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 28/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 28/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [04:00:00 28/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 122 u1: BPM st: NotStopd t0: [04:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 28/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 28/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 28/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 28/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [04:00:00 28/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.0 mm st: NotStopd t0: [04:00:00 28/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 28/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: . st: NotStopd t0: [04:00:00 28/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 28/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 28/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 28/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [04:00:00 28/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 28/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Frothy st: NotStopd t0: [04:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 28/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 28/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 28/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 28/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [04:00:00 28/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [04:00:00 28/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 28/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RN v1: 8/29 st: NotStopd t0: [04:00:00 28/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RN v1: #8 st: NotStopd t0: [04:00:00 28/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RN v1: Shiley st: NotStopd t0: [04:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 28/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Red v2: Sediment st: NotStopd t0: [04:00:00 28/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RN v1: 9 u1: # st: NotStopd t0: [04:00:00 28/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd t0: [04:00:00 28/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:25:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:25:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 136 u1: BPM st: NotStopd t0: [04:25:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:25:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:25:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [04:25:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:25:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [04:25:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:25:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:25:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg u2: mmHg st: NotStopd t0: [04:30:00 28/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd
t0: [04:00:00 28/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [04:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [04:00:00 28/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 28/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 80 vu: ml t0: [04:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [04:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:25:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:27:00 28/09/2009] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 23.2 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 70.6 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.6 u1: % rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 165 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.1 rs: Final st: NotStopd
t0: [03:27:00 28/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 100.8 rs: Final st: NotStopd
t0: [04:28:00 28/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.3738 u1: ml/cmH st: NotStopd t0: [04:28:00 28/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:28:00 28/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:28:00 28/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:28:00 28/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:28:00 28/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:28:00 28/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [04:28:00 28/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:28:00 28/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:28:00 28/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [04:28:00 28/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [04:28:00 28/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:28:00 28/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:28:00 28/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:28:00 28/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:28:00 28/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.6 u1: cmH2O st: NotStopd t0: [04:28:00 28/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [04:28:00 28/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:28:00 28/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:28:00 28/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26.4 u1: cmH2O st: NotStopd t0: [04:28:00 28/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.7 u1: cmH2O st: NotStopd t0: [04:28:00 28/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:28:00 28/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [04:28:00 28/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:28:00 28/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:28:00 28/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:28:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [04:28:00 28/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:28:00 28/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [04:28:00 28/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:28:00 28/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:28:00 28/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [04:28:00 28/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:28:00 28/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:28:00 28/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [04:28:00 28/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:28:00 28/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:28:00 28/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:28:00 28/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:27:00 28/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:27:00 28/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [05:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [05:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [05:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [06:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [06:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [06:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:27:00 28/09/2009] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd
t0: [05:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [06:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 28/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 28/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 28/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 28/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [08:00:00 28/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 140 u1: BPM st: NotStopd t0: [08:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 28/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 28/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 28/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 28/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [08:00:00 28/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 28/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 28/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 28/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [08:00:00 28/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Loose Teeth st: NotStopd t0: [08:00:00 28/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 28/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [08:00:00 28/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [08:00:00 28/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 28/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 28/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 28/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [08:00:00 28/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 28/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [08:00:00 28/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [08:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 28/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd
t0: [08:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 60 vu: ml t0: [08:00:00 28/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 320 vu: ml t0: [08:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [08:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:34:00 28/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 22.2603 u1: ml/cmH st: NotStopd t0: [08:34:00 28/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:34:00 28/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:34:00 28/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [08:34:00 28/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:34:00 28/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.5 st: NotStopd t0: [08:34:00 28/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [08:34:00 28/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:34:00 28/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [08:34:00 28/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [08:34:00 28/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [08:34:00 28/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:34:00 28/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:34:00 28/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:34:00 28/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.5 u1: cmH2O st: NotStopd t0: [08:34:00 28/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 15.9 u1: L/min st: NotStopd t0: [08:34:00 28/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:34:00 28/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [08:34:00 28/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 34.2 u1: cmH2O st: NotStopd t0: [08:34:00 28/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:34:00 28/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:34:00 28/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 11 u1: BPM st: NotStopd t0: [08:34:00 28/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [08:34:00 28/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:34:00 28/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:34:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:34:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:34:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:34:00 28/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 870 u1: ml/B st: NotStopd t0: [08:34:00 28/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:34:00 28/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:34:00 28/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [08:34:00 28/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:34:00 28/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:30:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [08:30:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:30:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:30:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:30:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [08:30:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:30:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [08:30:00 28/09/2009] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [08:30:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:30:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [09:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [09:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 28/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [09:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [09:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:30:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [09:30:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [09:30:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:30:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [09:30:00 28/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Chest Pain st: NotStopd t0: [09:30:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:30:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [09:30:00 28/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [09:30:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:30:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:30:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [10:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [10:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [10:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 28/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [10:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [10:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [09:00:00 28/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 80 vu: ml t0: [09:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [10:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml
t0: [09:30:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 28/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [10:00:00 28/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd
t0: [10:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [10:00:00 28/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 170 vo: 80 vu: ml st: Stopped
t0: [10:00:00 28/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [08:00:00 28/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 28/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [08:00:00 28/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [08:00:00 28/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 28/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [08:00:00 28/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 28/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 28/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [08:00:00 28/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 28/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:00:00 28/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:00:00 28/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [09:00:00 28/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [10:00:00 28/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd
t0: [10:08:00 28/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 87.6 rs: Final st: NotStopd
t0: [11:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 124 u1: BPM st: NotStopd t0: [11:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [11:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 58.3333 u1: mmHg st: NotStopd t0: [11:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117.4 u1: kg st: NotStopd t0: [11:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [11:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [11:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 28/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 219 rs: Manual st: NotStopd
t0: [11:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [11:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [10:08:00 28/09/2009] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [10:08:00 28/09/2009] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [10:08:00 28/09/2009] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 71 rs: Final st: NotStopd t0: [10:08:00 28/09/2009] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [10:08:00 28/09/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [12:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 28/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 28/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 28/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 28/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [12:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [12:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 102.333 u1: mmHg st: NotStopd t0: [12:00:00 28/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 28/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [12:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 28/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [12:00:00 28/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 45 vu: ml t0: [12:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [12:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:04:00 28/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 20.9677 u1: ml/cmH st: NotStopd t0: [12:04:00 28/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:04:00 28/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:04:00 28/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [12:04:00 28/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:04:00 28/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.5 st: NotStopd t0: [12:04:00 28/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [12:04:00 28/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:04:00 28/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [12:04:00 28/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [12:04:00 28/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [12:04:00 28/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:04:00 28/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:04:00 28/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [12:04:00 28/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [12:04:00 28/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.2 u1: L/min st: NotStopd t0: [12:04:00 28/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:04:00 28/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:04:00 28/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [12:04:00 28/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [12:04:00 28/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:04:00 28/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 6 u1: BPM st: NotStopd t0: [12:04:00 28/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:04:00 28/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:04:00 28/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:04:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:04:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [12:04:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:04:00 28/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [12:04:00 28/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:04:00 28/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:04:00 28/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:04:00 28/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:04:00 28/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [13:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [13:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117.4 u1: kg st: NotStopd t0: [13:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [13:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 28/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [13:00:00 28/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [13:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 15 vu: ml t0: [13:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [13:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [13:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [14:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 28/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 28/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [14:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [14:00:00 28/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [14:00:00 28/09/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [14:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [14:00:00 28/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [14:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [14:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
id: Potassium Phosphate el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions am: 15 du: mEq rt: Intravenous Push
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 40 ru: ml/hr
t0: [14:00:00 28/09/2009] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 170 vo: 0 st: D/C'd
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [13:00:00 28/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [14:00:00 28/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [15:00:00 28/09/2009] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [15:00:00 28/09/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 28/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 28/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 28/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [15:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [14:23:00 28/09/2009] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [14:23:00 28/09/2009] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [14:23:00 28/09/2009] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [14:23:00 28/09/2009] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [14:23:00 28/09/2009] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [15:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 28/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [15:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [15:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [15:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 28/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [16:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [16:00:00 28/09/2009] tf: [00:00:00 29/09/2009] dt: 480 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [16:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [16:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [16:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [16:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 28/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 36.1111 u1: ml/cmH st: NotStopd t0: [16:00:00 28/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 28/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 28/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [16:00:00 28/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 28/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.5 st: NotStopd t0: [16:00:00 28/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 7.0 mm st: NotStopd t0: [16:00:00 28/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 28/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [16:00:00 28/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [16:00:00 28/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [16:00:00 28/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 28/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 28/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [16:00:00 28/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.8 u1: cmH2O st: NotStopd t0: [16:00:00 28/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.8 u1: L/min st: NotStopd t0: [16:00:00 28/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 28/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [16:00:00 28/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [16:00:00 28/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 28/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 28/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 28/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 28/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [16:00:00 28/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [16:00:00 28/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 28/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [16:00:00 28/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [16:00:00 28/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [16:00:00 28/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 28/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [16:00:00 28/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 28/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 28/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 28/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [17:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 28/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 28/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [17:00:00 28/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [17:00:00 28/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [17:00:00 28/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [17:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 28/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [17:00:00 28/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 28/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:00:00 28/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:00:00 28/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [17:00:00 28/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [17:00:00 28/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [17:00:00 28/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [17:00:00 28/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:00:00 28/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:00:00 28/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 28/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 28/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [17:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [17:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 28/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [17:00:00 28/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [17:00:00 28/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [17:00:00 28/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 28/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [17:00:00 28/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [17:00:00 28/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [17:00:00 28/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 28/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 28/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [17:00:00 28/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [17:00:00 28/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [17:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [17:00:00 28/09/2009] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [17:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [17:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [18:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [18:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [18:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 28/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 15 vu: ml t0: [18:00:00 28/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 28/09/2009] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [18:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [18:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:38:00 28/09/2009] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd
t0: [20:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 28/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 28/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 28/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 28/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 28/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [20:00:00 28/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 28/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 28/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 28/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [20:00:00 28/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 28/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 28/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 28/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 28/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 28/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 28/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 28/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 28/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 28/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [20:00:00 28/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 28/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [20:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 28/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [20:00:00 28/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 28/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 28/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [20:00:00 28/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 28/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 28/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 28/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 28/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 28/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 28/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 28/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 30 vu: ml t0: [20:00:00 28/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [20:00:00 28/09/2009] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [20:00:00 28/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [20:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 460 ap: none
t0: [21:30:00 28/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 34.7594 u1: ml/cmH st: NotStopd t0: [21:30:00 28/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [21:30:00 28/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:30:00 28/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:30:00 28/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:30:00 28/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [21:30:00 28/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [21:30:00 28/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [21:30:00 28/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:30:00 28/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [21:30:00 28/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [21:30:00 28/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:30:00 28/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:30:00 28/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [21:30:00 28/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [21:30:00 28/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [21:30:00 28/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [21:30:00 28/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:30:00 28/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [21:30:00 28/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23.7 u1: cmH2O st: NotStopd t0: [21:30:00 28/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17.1 u1: cmH2O st: NotStopd t0: [21:30:00 28/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:30:00 28/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:30:00 28/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:30:00 28/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:30:00 28/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:30:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [21:30:00 28/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:30:00 28/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [21:30:00 28/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [21:30:00 28/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [21:30:00 28/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [21:30:00 28/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [21:30:00 28/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [21:30:00 28/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [21:30:00 28/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:30:00 28/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [21:30:00 28/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:30:00 28/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 28/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 28/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 28/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [22:00:00 28/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 28/09/2009] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 28/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 28/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [22:00:00 28/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 28/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 28/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 28/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [22:00:00 28/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 25.2 u1: % rs: Final st: NotStopd t0: [22:00:00 28/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8 u1: gm/dl rs: Final st: NotStopd
t0: [22:00:00 28/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [22:00:00 28/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.7 rs: Final st: NotStopd
t0: [22:00:00 28/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 84.4 rs: Final st: NotStopd
t0: [00:00:00 29/09/2009] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [00:31:00 29/09/2009] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [00:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 29/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 29/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 29/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [00:00:00 29/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 29/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Coude Catheter st: NotStopd t0: [00:00:00 29/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [00:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 29/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 29/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 29/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 29/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 29/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 29/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 29/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 29/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 29/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 29/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 29/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [00:00:00 29/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 29/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [00:00:00 29/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 29/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Frothy st: NotStopd t0: [00:00:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 29/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 29/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 29/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 29/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [00:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [00:00:00 29/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 29/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 29/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [00:00:00 29/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [00:00:00 29/09/2009] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [00:00:00 29/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 29/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [01:15:00 29/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.8165 u1: ml/cmH st: NotStopd t0: [01:15:00 29/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [01:15:00 29/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:15:00 29/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:15:00 29/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:15:00 29/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:15:00 29/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [01:15:00 29/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [01:15:00 29/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:15:00 29/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [01:15:00 29/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [01:15:00 29/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [01:15:00 29/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:15:00 29/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [01:15:00 29/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [01:15:00 29/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [01:15:00 29/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [01:15:00 29/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:15:00 29/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [01:15:00 29/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26.8 u1: cmH2O st: NotStopd t0: [01:15:00 29/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24.5 u1: cmH2O st: NotStopd t0: [01:15:00 29/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:15:00 29/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:15:00 29/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:15:00 29/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:15:00 29/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:15:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [01:15:00 29/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:15:00 29/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [01:15:00 29/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [01:15:00 29/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [01:15:00 29/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [01:15:00 29/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [01:15:00 29/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [01:15:00 29/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [01:15:00 29/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:15:00 29/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [01:15:00 29/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:15:00 29/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [01:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [01:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [01:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [01:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 600 vu: ml
t0: [01:00:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Frothy st: NotStopd t0: [01:00:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [01:30:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:30:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:30:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:30:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85.6667 u1: mmHg st: NotStopd t0: [01:30:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:30:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [01:30:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:30:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:30:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [01:30:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [01:30:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/09/2009] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [00:00:00 29/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 110 rs: Manual st: NotStopd
t0: [02:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [02:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 105.333 u1: mmHg st: NotStopd t0: [02:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [02:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 29/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 154 vo: 0 st: D/C'd
t0: [03:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [03:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 115 u1: BPM st: NotStopd t0: [03:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93.3333 u1: mmHg st: NotStopd t0: [03:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [03:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [03:00:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [04:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [04:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 29/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 29/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [04:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 108.333 u1: mmHg st: NotStopd t0: [04:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [04:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Frothy st: NotStopd t0: [04:00:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [04:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [04:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 29/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vu: ml t0: [01:00:00 29/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vu: ml t0: [03:00:00 29/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [03:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 29/09/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 154 vo: 0 vu: ml t0: [03:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 625 vu: ml
t0: [04:31:00 29/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 39.6341 u1: ml/cmH st: NotStopd t0: [04:31:00 29/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:31:00 29/09/2009] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:31:00 29/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:31:00 29/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:31:00 29/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:31:00 29/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [04:31:00 29/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.0 mm st: NotStopd t0: [04:31:00 29/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:31:00 29/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [04:31:00 29/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [04:31:00 29/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:31:00 29/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:31:00 29/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:31:00 29/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:31:00 29/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [04:31:00 29/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [04:31:00 29/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:31:00 29/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:31:00 29/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 21.4 u1: cmH2O st: NotStopd t0: [04:31:00 29/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 16.2 u1: cmH2O st: NotStopd t0: [04:31:00 29/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:31:00 29/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:31:00 29/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:31:00 29/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:31:00 29/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:31:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [04:31:00 29/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:31:00 29/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [04:31:00 29/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:31:00 29/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:31:00 29/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [04:31:00 29/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:31:00 29/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:31:00 29/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [04:31:00 29/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:31:00 29/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:31:00 29/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:31:00 29/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [06:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [07:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [07:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [07:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117.4 u1: kg st: NotStopd t0: [07:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [07:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [07:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 600 vu: ml
t0: [07:00:00 29/09/2009] tf: [14:58:00 01/10/2009] dt: 3358 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml
t0: [23:00:00 29/09/2009] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 375 ap: none
t0: [07:45:00 29/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 34.2105 u1: ml/cmH st: NotStopd t0: [07:45:00 29/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [07:45:00 29/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:45:00 29/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:45:00 29/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:45:00 29/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.6 st: NotStopd t0: [07:45:00 29/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [07:45:00 29/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [07:45:00 29/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [07:45:00 29/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [07:45:00 29/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Diminished st: NotStopd t0: [07:45:00 29/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Diminished st: NotStopd t0: [07:45:00 29/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [07:45:00 29/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:45:00 29/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [07:45:00 29/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [07:45:00 29/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:45:00 29/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [07:45:00 29/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:45:00 29/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [07:45:00 29/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [07:45:00 29/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [07:45:00 29/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [07:45:00 29/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Diminished st: NotStopd t0: [07:45:00 29/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Diminished st: NotStopd t0: [07:45:00 29/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [07:45:00 29/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [07:45:00 29/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RRT v1: Regular st: NotStopd t0: [07:45:00 29/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:45:00 29/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:45:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [07:45:00 29/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [07:45:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Brown v2: Thick st: NotStopd t0: [07:45:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [07:45:00 29/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [07:45:00 29/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [07:45:00 29/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [07:45:00 29/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [07:45:00 29/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [07:45:00 29/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [07:45:00 29/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [07:45:00 29/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:45:00 29/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [07:45:00 29/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [07:45:00 29/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:30:00 29/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.3 u1: % rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 126 rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.25 u1: /mic l rs: Final st: NotStopd
t0: [06:30:00 29/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [08:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [08:00:00 29/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 29/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 29/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 29/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 29/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: Coude Catheter st: NotStopd t0: [08:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [08:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 29/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 29/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 29/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 29/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 29/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 29/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 29/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [08:00:00 29/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 29/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 29/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 29/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 90.3333 u1: mmHg st: NotStopd t0: [08:00:00 29/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 29/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [08:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117.4 u1: kg st: NotStopd t0: [08:00:00 29/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 29/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 29/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Tachypneic st: NotStopd t0: [08:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 29/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 29/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 29/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [08:00:00 29/09/2009] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Friend st: NotStopd t0: [08:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [08:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [08:00:00 29/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Pink v2: Sediment st: NotStopd t0: [08:00:00 29/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 29/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 29/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 29/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 29/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 29/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 29/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 29/09/2009] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 29/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [23:00:00 29/09/2009] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: none
t0: [08:00:00 29/09/2009] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [08:00:00 29/09/2009] id: Stool Management el: 0 cu: MICU-A cg: -1 v1: Fecal Incont Bag st: NotStopd
t0: [06:30:00 29/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 40.4 rs: Final st: NotStopd
t0: [06:30:00 29/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 115 rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [06:30:00 29/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [08:00:00 29/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [08:00:00 29/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [08:00:00 29/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [08:00:00 29/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [09:00:00 29/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [09:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 90 u1: BPM st: NotStopd t0: [09:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 150 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [09:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [09:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [09:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [09:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [06:30:00 29/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: -1 v1: 3.5 rs: Final st: NotStopd t0: [09:00:00 29/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 145 rs: Manual st: NotStopd
t0: [09:00:00 29/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 29/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 29/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [09:00:00 29/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 29/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 29/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 29/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [09:15:00 29/09/2009] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 352 rs: Final st: NotStopd t0: [09:15:00 29/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [09:15:00 29/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd
t0: [10:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 108 u1: BPM st: NotStopd t0: [10:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 29/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [10:00:00 29/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [10:00:00 29/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [10:00:00 29/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [10:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 155 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [10:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [10:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [10:00:00 29/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Tachypneic st: NotStopd t0: [10:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [10:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [09:00:00 29/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [07:00:00 29/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [08:00:00 29/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [09:00:00 29/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [11:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [11:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77.6667 u1: mmHg st: NotStopd t0: [11:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [11:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [08:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [10:00:00 29/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 29/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [12:00:00 29/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 29/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 29/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 29/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 29/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [12:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 29/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [12:00:00 29/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 29/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 29/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [12:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [12:00:00 29/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Pink v2: Sediment st: NotStopd t0: [12:00:00 29/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [08:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [12:00:00 29/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [12:22:00 29/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 34.2105 u1: ml/cmH st: NotStopd t0: [12:22:00 29/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [12:22:00 29/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:22:00 29/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:22:00 29/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:22:00 29/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [12:22:00 29/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:22:00 29/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [12:22:00 29/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:22:00 29/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [12:22:00 29/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [12:22:00 29/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:22:00 29/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [12:22:00 29/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [12:22:00 29/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:22:00 29/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [12:22:00 29/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:22:00 29/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [12:22:00 29/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [12:22:00 29/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:22:00 29/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:22:00 29/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:22:00 29/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:22:00 29/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:22:00 29/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:22:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:22:00 29/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:22:00 29/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [12:22:00 29/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [12:22:00 29/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [12:22:00 29/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [12:22:00 29/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [12:22:00 29/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [12:22:00 29/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [12:22:00 29/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:22:00 29/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [12:22:00 29/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:22:00 29/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 29/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [09:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [09:00:00 29/09/2009] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: 0 u1: kg st: NotStopd t0: [09:00:00 29/09/2009] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [10:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [11:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [12:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [12:00:00 29/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [12:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [12:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 29/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 29/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 29/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 29/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 29/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [13:00:00 29/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [13:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 29/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 29/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [13:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 29/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [13:00:00 29/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [13:00:00 29/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Appropriate st: NotStopd
t0: [13:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [13:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [13:00:00 29/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [13:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml
t0: [09:15:00 29/09/2009] id: D-Dimer (0-500) Coags el: 0 cu: MICU-A cg: 1663 v1: <500 rs: Final st: NotStopd
t0: [14:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 29/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 4 st: NotStopd t0: [14:00:00 29/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 16 French st: NotStopd t0: [14:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [14:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [14:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [14:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [14:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [14:00:00 29/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 29/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [14:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml t0: [15:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml
t0: [14:00:00 29/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd
t0: [15:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69.3333 u1: mmHg st: NotStopd t0: [15:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [15:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [15:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [15:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [15:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd
t0: [15:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [16:00:00 29/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [16:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 29/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [15:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [15:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [15:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [16:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.6667 u1: mmHg st: NotStopd t0: [16:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [16:00:00 29/09/2009] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [16:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [16:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [16:00:00 29/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 29/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 4 st: NotStopd t0: [16:00:00 29/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 16 French st: NotStopd t0: [16:00:00 29/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [16:00:00 29/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 29/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 29/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [16:00:00 29/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 29/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 29/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 29/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 29/09/2009] id: Stool Management el: 0 cu: MICU-A cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 29/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 29/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [16:00:00 29/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 138 rs: Manual st: NotStopd
t0: [16:47:00 29/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 36.1111 u1: ml/cmH st: NotStopd t0: [16:47:00 29/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [16:47:00 29/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:47:00 29/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:47:00 29/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:47:00 29/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [16:47:00 29/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:47:00 29/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [16:47:00 29/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [16:47:00 29/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [16:47:00 29/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [16:47:00 29/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:47:00 29/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [16:47:00 29/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Atrovent st: NotStopd t0: [16:47:00 29/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [16:47:00 29/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:47:00 29/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [16:47:00 29/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:47:00 29/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [16:47:00 29/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:47:00 29/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:47:00 29/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:47:00 29/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [16:47:00 29/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:47:00 29/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:47:00 29/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:47:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [16:47:00 29/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:47:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [16:47:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [16:47:00 29/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [16:47:00 29/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [16:47:00 29/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [16:47:00 29/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [16:47:00 29/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [16:47:00 29/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [16:47:00 29/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [16:47:00 29/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:47:00 29/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [16:47:00 29/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:47:00 29/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:23:00 29/09/2009] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [17:23:00 29/09/2009] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 137 u1: kg t0: [17:23:00 29/09/2009] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [17:23:00 29/09/2009] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: COPD ASTHMA t0: [17:23:00 29/09/2009] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [17:23:00 29/09/2009] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [17:23:00 29/09/2009] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [17:23:00 29/09/2009] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: S t0: [17:23:00 29/09/2009] id: Religion el: 1000 cu: MICU-A cg: -1 v1: OTR t0: [17:23:00 29/09/2009] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [17:23:00 29/09/2009] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [17:23:00 29/09/2009] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [17:23:00 29/09/2009] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:00:00 29/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [16:00:00 29/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 29/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [16:00:00 29/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [17:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [17:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 29/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [17:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 29/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [18:00:00 29/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [18:00:00 29/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [18:00:00 29/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [18:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 29/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 29/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 29/09/2009] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: -1 v1: Soap & H20 st: NotStopd t0: [18:00:00 29/09/2009] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 v1: Abrasion st: NotStopd t0: [18:00:00 29/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [18:00:00 29/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [18:00:00 29/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [18:00:00 29/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 29/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [18:00:00 29/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Abdominal st: NotStopd t0: [18:00:00 29/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 29/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [18:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [18:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [18:00:00 29/09/2009] id: Sedation Score el: 0 cu: MICU-A cg: -1 v1: Awake, Oriented st: NotStopd t0: [18:00:00 29/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 29/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 29/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [18:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [18:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [18:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [18:00:00 29/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 29/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 29/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 29/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Appropriate st: NotStopd t0: [18:00:00 29/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [18:00:00 29/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [18:00:00 29/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [18:00:00 29/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [18:00:00 29/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Very Poor st: NotStopd t0: [18:00:00 29/09/2009] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [18:00:00 29/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [17:00:00 29/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [17:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [18:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 29/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 29/09/2009] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [18:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [23:00:00 29/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 300 ap: none t0: [23:00:00 29/09/2009] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 400 ap: none
id: Peptamen el: 2 cu: MICU-A cg: -1 io: Peptamen Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [19:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70.6667 u1: mmHg st: NotStopd t0: [19:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd
t0: [19:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [18:00:00 29/09/2009] tf: [14:58:00 01/10/2009] dt: 2698 id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 10 vu: ml nb: 1 t0: [19:00:00 29/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 10 vu: ml
t0: [20:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 29/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 4 st: NotStopd t0: [20:00:00 29/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 16 French st: NotStopd t0: [20:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [20:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 29/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 29/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [20:00:00 29/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 29/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 29/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 29/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 29/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 320 cv: 320 ap: none t0: [23:00:00 29/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -290 cv: -290 ap: none t0: [23:00:00 29/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 870 ap: none t0: [23:00:00 29/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 30 cv: 1595 ap: none t0: [23:00:00 29/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none t0: [23:00:00 29/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 320 cv: 3330 ap: none t0: [23:00:00 29/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -290 cv: -2135 ap: none t0: [23:00:00 29/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 320 cv: 3730 ap: none t0: [23:00:00 29/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -290 cv: -21791 ap: carryForward
t0: [20:00:00 29/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 29/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 29/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 29/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 29/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 29/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 29/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 29/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 29/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 29/09/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Loose st: NotStopd t0: [20:00:00 29/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 29/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 29/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 29/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 29/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 29/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [20:45:00 29/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.3261 u1: ml/cmH st: NotStopd t0: [20:45:00 29/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:45:00 29/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:45:00 29/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:45:00 29/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:45:00 29/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [20:45:00 29/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:45:00 29/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [20:45:00 29/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:45:00 29/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [20:45:00 29/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [20:45:00 29/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:45:00 29/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:45:00 29/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:45:00 29/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Flovent st: NotStopd t0: [20:45:00 29/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.9 u1: cmH2O st: NotStopd t0: [20:45:00 29/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [20:45:00 29/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:45:00 29/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:45:00 29/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23.4 u1: cmH2O st: NotStopd t0: [20:45:00 29/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 16.8 u1: cmH2O st: NotStopd t0: [20:45:00 29/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:45:00 29/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:45:00 29/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:45:00 29/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:45:00 29/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:45:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:45:00 29/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:45:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:45:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:45:00 29/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [20:45:00 29/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:45:00 29/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [20:45:00 29/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [20:45:00 29/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [20:45:00 29/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [20:45:00 29/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [20:45:00 29/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:45:00 29/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:45:00 29/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:45:00 29/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [21:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [21:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [21:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [22:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [22:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 30/09/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -50 cv: -22316 ap: carryForward
t0: [23:15:00 29/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [23:15:00 29/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [01:24:00 30/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 36.9318 u1: ml/cmH st: NotStopd t0: [01:24:00 30/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [01:24:00 30/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:24:00 30/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:24:00 30/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:24:00 30/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [01:24:00 30/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [01:24:00 30/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [01:24:00 30/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [01:24:00 30/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [01:24:00 30/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [01:24:00 30/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:24:00 30/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [01:24:00 30/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [01:24:00 30/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: cmH2O st: NotStopd t0: [01:24:00 30/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [01:24:00 30/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:24:00 30/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [01:24:00 30/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22.6 u1: cmH2O st: NotStopd t0: [01:24:00 30/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: cmH2O st: NotStopd t0: [01:24:00 30/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:24:00 30/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:24:00 30/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:24:00 30/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:24:00 30/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:24:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [01:24:00 30/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:24:00 30/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [01:24:00 30/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [01:24:00 30/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [01:24:00 30/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [01:24:00 30/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [01:24:00 30/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [01:24:00 30/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [01:24:00 30/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:24:00 30/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [01:24:00 30/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:24:00 30/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 29/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 29/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 29/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [23:00:00 29/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 29/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [23:00:00 29/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 29/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [23:00:00 29/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 29/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 29/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 30/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 30/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 30/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 30/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 30/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 4 st: NotStopd t0: [00:00:00 30/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 16 French st: NotStopd t0: [00:00:00 30/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 30/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 30/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 30/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 30/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 30/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 30/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 30/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 30/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 30/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [00:00:00 30/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 30/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [00:00:00 30/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 30/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 30/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 30/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 30/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 30/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 30/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 30/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 30/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 30/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 30/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 30/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 30/09/2009] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 30/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [01:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [01:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [01:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [01:00:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [01:00:00 30/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 29/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml t0: [01:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [01:00:00 30/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [01:00:00 30/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd
t0: [22:00:00 29/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml t0: [00:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 40 vu: ml t0: [01:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml
t0: [04:23:00 30/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.1005 u1: ml/cmH st: NotStopd t0: [04:23:00 30/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:23:00 30/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:23:00 30/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:23:00 30/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:23:00 30/09/2009] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [04:23:00 30/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:23:00 30/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [04:23:00 30/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [04:23:00 30/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [04:23:00 30/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [04:23:00 30/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:23:00 30/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: cmH2O st: NotStopd t0: [04:23:00 30/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [04:23:00 30/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:23:00 30/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:23:00 30/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25.9 u1: cmH2O st: NotStopd t0: [04:23:00 30/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 13.7 u1: cmH2O st: NotStopd t0: [04:23:00 30/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:23:00 30/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:23:00 30/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:23:00 30/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:23:00 30/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:23:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [04:23:00 30/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:23:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [04:23:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:23:00 30/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [04:23:00 30/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:23:00 30/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:23:00 30/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [04:23:00 30/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:23:00 30/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:23:00 30/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [04:23:00 30/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:23:00 30/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:23:00 30/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:23:00 30/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:15:00 30/09/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.3 u1: % rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 166 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.3 rs: Final st: NotStopd
t0: [05:15:00 30/09/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 27.9 rs: Final st: NotStopd
t0: [02:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [02:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [02:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [03:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [03:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [03:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [03:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [04:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [04:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [04:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [04:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [04:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [05:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [05:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [05:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [05:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 30/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 30/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [05:00:00 30/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [05:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [06:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [06:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [06:00:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [06:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml t0: [05:00:00 30/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [05:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 80 vu: ml t0: [06:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml
t0: [06:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [04:00:00 30/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 30/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 30/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 30/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 30/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 30/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 4 st: NotStopd t0: [04:00:00 30/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 16 French st: NotStopd t0: [04:00:00 30/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 30/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 30/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 30/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 30/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 30/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/09/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/09/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 30/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 30/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 30/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 30/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 30/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [05:00:00 30/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [05:00:00 30/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 13 st: NotStopd t0: [05:00:00 30/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Bleeding st: NotStopd t0: [05:15:00 30/09/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.7 u1: mg/dl rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:15:00 30/09/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [06:00:00 30/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 30/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 30/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [06:00:00 30/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 30/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 30/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 30/09/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 30/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 30/09/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [07:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [07:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [07:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [07:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 30/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [08:00:00 30/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 30/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 30/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 30/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 4 st: NotStopd t0: [08:00:00 30/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 16 French st: NotStopd t0: [08:00:00 30/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [08:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 30/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 30/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 30/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [08:00:00 30/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 30/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 30/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [08:00:00 30/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 30/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 157 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 90.3333 u1: mmHg st: NotStopd t0: [08:00:00 30/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [08:00:00 30/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [08:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [08:00:00 30/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 30/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 30/09/2009] id: Stool Management el: 0 cu: MICU-A cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 30/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 30/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Appropriate st: NotStopd t0: [08:00:00 30/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 30/09/2009] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 30/09/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 30/09/2009] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 30/09/2009] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 30/09/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 30/09/2009] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 30/09/2009] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 20 vu: ml t0: [08:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 30/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 20 vu: ml t0: [08:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [07:43:00 30/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 26 u1: ml/cmH st: NotStopd t0: [07:43:00 30/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:43:00 30/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:43:00 30/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:43:00 30/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [07:43:00 30/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Tracheostomy st: NotStopd t0: [07:43:00 30/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [07:43:00 30/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [07:43:00 30/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [07:43:00 30/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:43:00 30/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [07:43:00 30/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.1 u1: L/min st: NotStopd t0: [07:43:00 30/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:43:00 30/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [07:43:00 30/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [07:43:00 30/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [07:43:00 30/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:43:00 30/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [07:43:00 30/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [07:43:00 30/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [07:43:00 30/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:43:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [07:43:00 30/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [07:43:00 30/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [07:43:00 30/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [07:43:00 30/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [07:43:00 30/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [07:43:00 30/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 30/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 30/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd
t0: [08:00:00 30/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd
t0: [09:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [09:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [09:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [09:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [09:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 30/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [08:00:00 30/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 30/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 30/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 30/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [09:00:00 30/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 30/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 30/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [10:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [10:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [10:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [10:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [10:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml t0: [10:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [08:00:00 30/09/2009] id: Support Systems el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [09:00:00 30/09/2009] id: Nursing Consultation el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [10:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 30/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 30/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 30/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [10:00:00 30/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 30/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 30/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 30/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [11:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [11:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [11:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [11:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [11:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 20 vu: ml t0: [11:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [11:46:00 30/09/2009] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 20 u1: . st: NotStopd t0: [11:46:00 30/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd
t0: [12:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 30/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 30/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 30/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [12:00:00 30/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [12:00:00 30/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77.6667 u1: mmHg st: NotStopd t0: [12:00:00 30/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [12:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [12:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [12:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 30/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [12:00:00 30/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [12:00:00 30/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 20 vu: ml t0: [12:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [12:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd
t0: [12:23:00 30/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:23:00 30/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:23:00 30/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:23:00 30/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [12:23:00 30/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Tracheostomy st: NotStopd t0: [12:23:00 30/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [12:23:00 30/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [12:23:00 30/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [12:23:00 30/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:23:00 30/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9.6 u1: cmH2O st: NotStopd t0: [12:23:00 30/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.9 u1: L/min st: NotStopd t0: [12:23:00 30/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:23:00 30/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25.5 u1: cmH2O st: NotStopd t0: [12:23:00 30/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [12:23:00 30/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [12:23:00 30/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [12:23:00 30/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:23:00 30/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:23:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:23:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:23:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:23:00 30/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [12:23:00 30/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:23:00 30/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:23:00 30/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [12:23:00 30/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:23:00 30/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 30/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 30/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd
t0: [12:00:00 30/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 30/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 30/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 4 st: NotStopd t0: [12:00:00 30/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 16 French st: NotStopd t0: [12:00:00 30/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [12:00:00 30/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [12:00:00 30/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 30/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 30/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 30/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 30/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 30/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 30/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 30/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 30/09/2009] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 30/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 30/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Anxious st: NotStopd t0: [12:00:00 30/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [12:00:00 30/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 30/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Tachypneic st: NotStopd
t0: [13:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [13:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [13:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [13:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [13:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 20 vu: ml t0: [13:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [13:00:00 30/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 182 rs: Manual st: NotStopd
t0: [13:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 30/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [13:00:00 30/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 30/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 30/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [13:00:00 30/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 30/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [13:00:00 30/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 30/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 30/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [13:00:00 30/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [13:00:00 30/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [11:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [12:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [12:00:00 30/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 30/09/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml
t0: [14:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [14:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 74.6667 u1: mmHg st: NotStopd t0: [14:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [14:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [14:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [14:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/09/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 rs: Manual st: NotStopd
t0: [15:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [15:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [15:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 72.6667 u1: mmHg st: NotStopd t0: [15:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [15:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [15:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [15:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 20 vu: ml t0: [15:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 210 vu: ml
t0: [15:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 30 vu: ml
t0: [16:00:00 30/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 30/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 30/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 30/09/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [16:00:00 30/09/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Tracheostomy st: NotStopd t0: [16:00:00 30/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [16:00:00 30/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [16:00:00 30/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [16:00:00 30/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 30/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 30/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [16:00:00 30/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10.7 u1: cmH2O st: NotStopd t0: [16:00:00 30/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.3 u1: L/min st: NotStopd t0: [16:00:00 30/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [16:00:00 30/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.6 u1: cmH2O st: NotStopd t0: [16:00:00 30/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19.3 u1: cmH2O st: NotStopd t0: [16:00:00 30/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [16:00:00 30/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [16:00:00 30/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 30/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thin st: NotStopd t0: [16:00:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 30/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 720 u1: ml/B st: NotStopd t0: [16:00:00 30/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [16:00:00 30/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: -1 v1: Yes v2: No st: NotStopd t0: [16:00:00 30/09/2009] id: Trach Date el: 0 cu: MICU-A cg: -1 v1: 8/29 st: NotStopd t0: [16:00:00 30/09/2009] id: Trach Size el: 0 cu: MICU-A cg: -1 v1: #8 st: NotStopd t0: [16:00:00 30/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: -1 v1: Shiley st: NotStopd t0: [16:00:00 30/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 30/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [16:00:00 30/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 30/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [16:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 30/09/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 30/09/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 30/09/2009] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [16:00:00 30/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 30/09/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 30/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 4 st: NotStopd t0: [16:00:00 30/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 16 French st: NotStopd t0: [16:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [16:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 30/09/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [16:00:00 30/09/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 30/09/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 8 v2: 13 st: NotStopd t0: [16:00:00 30/09/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 30/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [16:00:00 30/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [16:00:00 30/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 30/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [16:00:00 30/09/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75.6667 u1: mmHg st: NotStopd t0: [16:00:00 30/09/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/09/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 30/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 30/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 30/09/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [16:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [16:00:00 30/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 30/09/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 30/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 30/09/2009] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 30/09/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [16:00:00 30/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 30/09/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/09/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Anxious st: NotStopd t0: [16:00:00 30/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [17:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/09/2009] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [17:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [17:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 81.6667 u1: mmHg st: NotStopd t0: [17:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [17:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [17:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [16:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 30 vu: ml t0: [17:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 30 vu: ml
t0: [16:00:00 30/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [18:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/09/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/09/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [18:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 30/09/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 30/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [18:00:00 30/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 30/09/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [18:00:00 30/09/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 30/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Contact st: NotStopd t0: [18:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [18:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [18:00:00 30/09/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 30/09/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 30/09/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 30/09/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 30/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 30 vu: ml t0: [18:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [23:00:00 30/09/2009] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 cv: 610 ap: none
t0: [19:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [19:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [19:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [19:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [19:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 30/09/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 32.5 u1: ml/cmH st: NotStopd t0: [20:00:00 30/09/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: Other/Remarks st: NotStopd t0: [20:00:00 30/09/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 30/09/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 30/09/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 30/09/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 30/09/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 30/09/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [20:00:00 30/09/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 30/09/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 30/09/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 30/09/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Flovent st: NotStopd t0: [20:00:00 30/09/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.2 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [20:00:00 30/09/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:00:00 30/09/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 14.6 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 30/09/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [20:00:00 30/09/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 30/09/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 30/09/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 30/09/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:00:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Frothy st: NotStopd t0: [20:00:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 30/09/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [20:00:00 30/09/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 30/09/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 30/09/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [20:00:00 30/09/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [20:00:00 30/09/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 30/09/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [20:00:00 30/09/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 30/09/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [20:00:00 30/09/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 30/09/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [20:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [20:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 30/09/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/09/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 30/09/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [21:00:00 30/09/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [21:00:00 30/09/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [21:00:00 30/09/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 4 st: NotStopd t0: [21:00:00 30/09/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 16 French st: NotStopd t0: [21:00:00 30/09/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 30/09/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [21:00:00 30/09/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 30/09/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 30/09/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [21:00:00 30/09/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 30/09/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 30/09/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 30/09/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [21:00:00 30/09/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [21:00:00 30/09/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 30/09/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 30/09/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [21:00:00 30/09/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 30/09/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 30/09/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 30/09/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [21:00:00 30/09/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 30/09/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 30/09/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 30/09/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [21:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Frothy st: NotStopd t0: [21:00:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 30/09/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/09/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [21:00:00 30/09/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [21:00:00 30/09/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [21:00:00 30/09/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 30/09/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [21:00:00 30/09/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 30/09/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 30/09/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [21:00:00 30/09/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 30/09/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/09/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/09/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/09/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 30/09/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/09/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 30/09/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 105.667 u1: mmHg st: NotStopd t0: [22:00:00 30/09/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/09/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [22:00:00 30/09/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 30/09/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 30/09/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Frothy st: NotStopd t0: [22:00:00 30/09/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 30/09/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/09/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [21:00:00 30/09/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 60 vu: ml t0: [21:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml t0: [22:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 30/09/2009] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 30/09/2009] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -50 cv: -50 ap: none t0: [23:00:00 30/09/2009] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1370 ap: none t0: [23:00:00 30/09/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 260 ap: none t0: [23:00:00 30/09/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 500 ap: none t0: [23:00:00 30/09/2009] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1895 ap: none t0: [23:00:00 30/09/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -50 cv: -525 ap: none t0: [23:00:00 30/09/2009] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 50 cv: 1895 ap: none
t0: [00:00:00 01/10/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 32.5 u1: ml/cmH st: NotStopd t0: [00:00:00 01/10/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: Other/Remarks st: NotStopd t0: [00:00:00 01/10/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 01/10/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 01/10/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 01/10/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 01/10/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 01/10/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [00:00:00 01/10/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 01/10/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 01/10/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 01/10/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [00:00:00 01/10/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:00:00 01/10/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 01/10/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:00:00 01/10/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:00:00 01/10/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 01/10/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 01/10/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Frothy st: NotStopd t0: [00:00:00 01/10/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 01/10/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [00:00:00 01/10/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 01/10/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 01/10/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [00:00:00 01/10/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [00:00:00 01/10/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 01/10/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [00:00:00 01/10/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 01/10/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [00:00:00 01/10/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 01/10/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 01/10/2009] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: -1 cv: -22091 ap: carryForward
t0: [01:00:00 01/10/2009] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [01:00:00 01/10/2009] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [01:00:00 01/10/2009] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [01:00:00 01/10/2009] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/10/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/10/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/10/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 01/10/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 01/10/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 01/10/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 01/10/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 4 st: NotStopd t0: [00:00:00 01/10/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 16 French st: NotStopd t0: [00:00:00 01/10/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 01/10/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 01/10/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 01/10/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 01/10/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 01/10/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/10/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/10/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 01/10/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [00:00:00 01/10/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/10/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/10/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 01/10/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 01/10/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 01/10/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 01/10/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [00:00:00 01/10/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/10/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/10/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 01/10/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/10/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/10/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 01/10/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 01/10/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 01/10/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/10/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 01/10/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 01/10/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 01/10/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 01/10/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 01/10/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/10/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/10/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/10/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [00:00:00 01/10/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 144 rs: Manual st: NotStopd t0: [00:00:00 01/10/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 01/10/2009] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 6 st: NotStopd t0: [01:00:00 01/10/2009] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 6 st: NotStopd t0: [01:00:00 01/10/2009] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [01:00:00 01/10/2009] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [23:00:00 30/09/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [00:00:00 01/10/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 60 vu: ml t0: [00:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [02:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [02:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [02:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [02:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 60 vu: ml t0: [02:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [04:00:00 01/10/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.0833 u1: ml/cmH st: NotStopd t0: [04:00:00 01/10/2009] id: Cuff Leak el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:00:00 01/10/2009] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 01/10/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 01/10/2009] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 01/10/2009] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 01/10/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 01/10/2009] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: . st: NotStopd t0: [04:00:00 01/10/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 01/10/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 01/10/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 01/10/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [04:00:00 01/10/2009] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2009] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:00:00 01/10/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2009] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 01/10/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [04:00:00 01/10/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:00:00 01/10/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 01/10/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 01/10/2009] id: Spare Trach Present el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 01/10/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 01/10/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 01/10/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [04:00:00 01/10/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 01/10/2009] id: Trach Cuff/Fenestra el: 0 cu: MICU-A cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 01/10/2009] id: Trach Date el: 0 cu: MICU-A cg: RRT v1: 8/29 st: NotStopd t0: [04:00:00 01/10/2009] id: Trach Size el: 0 cu: MICU-A cg: RRT v1: #8 st: NotStopd t0: [04:00:00 01/10/2009] id: Tracheostomy Cuff el: 0 cu: MICU-A cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 01/10/2009] id: Tracheostomy Type el: 0 cu: MICU-A cg: RRT v1: Shiley st: NotStopd t0: [04:00:00 01/10/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 01/10/2009] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 9 u1: # st: NotStopd t0: [04:00:00 01/10/2009] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 01/10/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:31:00 01/10/2009] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.5 u1: % rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 204 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.27 u1: /mic l rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.7 rs: Final st: NotStopd
t0: [05:31:00 01/10/2009] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 27.3 rs: Final st: NotStopd
t0: [05:31:00 01/10/2009] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:31:00 01/10/2009] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [04:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/10/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/10/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/10/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 01/10/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 01/10/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 01/10/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 01/10/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 4 st: NotStopd t0: [04:00:00 01/10/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 16 French st: NotStopd t0: [04:00:00 01/10/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 01/10/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 01/10/2009] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 6 st: NotStopd t0: [04:00:00 01/10/2009] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 01/10/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 01/10/2009] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/10/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 01/10/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 01/10/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 01/10/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/10/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/10/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 01/10/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [04:00:00 01/10/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/10/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/10/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 01/10/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 01/10/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 01/10/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [04:00:00 01/10/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/10/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/10/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 01/10/2009] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/10/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/10/2009] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 01/10/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [04:00:00 01/10/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 01/10/2009] id: Support Systems el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/10/2009] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 01/10/2009] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 0 u1: Deg. C st: NotStopd t0: [04:00:00 01/10/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 01/10/2009] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 01/10/2009] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 32 u1: Deg. F st: NotStopd t0: [04:00:00 01/10/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 01/10/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 01/10/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/10/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/10/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/10/2009] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [04:00:00 01/10/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 01/10/2009] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [05:00:00 01/10/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 146 rs: Manual st: NotStopd t0: [06:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/10/2009] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 01/10/2009] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 01/10/2009] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 01/10/2009] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [06:00:00 01/10/2009] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 01/10/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [06:00:00 01/10/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 4 st: NotStopd t0: [06:00:00 01/10/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 16 French st: NotStopd t0: [06:00:00 01/10/2009] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/10/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [06:00:00 01/10/2009] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 01/10/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 01/10/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/10/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/10/2009] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [06:00:00 01/10/2009] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [06:00:00 01/10/2009] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 01/10/2009] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 01/10/2009] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [06:00:00 01/10/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 01/10/2009] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Situational st: NotStopd t0: [06:00:00 01/10/2009] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 01/10/2009] id: Pain Management el: 0 cu: MICU-A cg: RN v1: PO Medication st: NotStopd t0: [06:00:00 01/10/2009] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Intermittent st: NotStopd t0: [06:00:00 01/10/2009] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 01/10/2009] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 117 u1: kg st: NotStopd t0: [06:00:00 01/10/2009] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Cultured st: NotStopd t0: [06:00:00 01/10/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/10/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/10/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 01/10/2009] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 01/10/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [06:00:00 01/10/2009] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [06:00:00 01/10/2009] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 01/10/2009] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 01/10/2009] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 01/10/2009] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 01/10/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 01/10/2009] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [04:00:00 01/10/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [06:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: RN ai: 168 vo: 160 vu: ml t0: [06:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:00:00 01/10/2009] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 200 ap: none
t0: [07:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [07:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [07:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 117 u1: kg st: NotStopd t0: [07:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 01/10/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [08:00:00 01/10/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 01/10/2009] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 01/10/2009] id: Follows Commands el: 0 cu: MICU-A cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 01/10/2009] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 01/10/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 01/10/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 4 st: NotStopd t0: [08:00:00 01/10/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 16 French st: NotStopd t0: [08:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [08:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 01/10/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [08:00:00 01/10/2009] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 v1: Duoderm st: NotStopd t0: [08:00:00 01/10/2009] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 01/10/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/10/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/10/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [08:00:00 01/10/2009] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 82.3333 u1: mmHg st: NotStopd t0: [08:00:00 01/10/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/10/2009] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 01/10/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 01/10/2009] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [08:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [08:00:00 01/10/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/10/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/10/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 01/10/2009] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 01/10/2009] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 01/10/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Green v2: Liquid st: NotStopd t0: [08:00:00 01/10/2009] id: Stool Management el: 0 cu: MICU-A cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 01/10/2009] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 01/10/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 01/10/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 01/10/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 01/10/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/10/2009] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 01/10/2009] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: 0 u1: kg st: NotStopd t0: [08:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/10/2009] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [08:00:00 01/10/2009] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Anxious st: NotStopd t0: [08:00:00 01/10/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 01/10/2009] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 01/10/2009] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: No Apparent Prob st: NotStopd t0: [08:00:00 01/10/2009] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 01/10/2009] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 01/10/2009] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd
t0: [07:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml t0: [08:00:00 01/10/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml t0: [08:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [08:00:00 01/10/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/10/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 01/10/2009] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 6 st: NotStopd t0: [08:00:00 01/10/2009] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 01/10/2009] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 01/10/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 01/10/2009] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 01/10/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd
t0: [09:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [09:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [09:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [09:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml
t0: [09:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [09:00:00 01/10/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.0833 u1: ml/cmH st: NotStopd t0: [09:00:00 01/10/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 01/10/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [09:00:00 01/10/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [09:00:00 01/10/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [09:00:00 01/10/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Tracheostomy st: NotStopd t0: [09:00:00 01/10/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [09:00:00 01/10/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [09:00:00 01/10/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [09:00:00 01/10/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 01/10/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [09:00:00 01/10/2009] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [09:00:00 01/10/2009] id: MDI #3 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Flovent st: NotStopd t0: [09:00:00 01/10/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [09:00:00 01/10/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.2 u1: L/min st: NotStopd t0: [09:00:00 01/10/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 01/10/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [09:00:00 01/10/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [09:00:00 01/10/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.3 u1: cmH2O st: NotStopd t0: [09:00:00 01/10/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 7 u1: BPM st: NotStopd t0: [09:00:00 01/10/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:00:00 01/10/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [09:00:00 01/10/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 01/10/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [09:00:00 01/10/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [09:00:00 01/10/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 460 u1: ml/B st: NotStopd t0: [09:00:00 01/10/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [09:00:00 01/10/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [09:00:00 01/10/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [09:00:00 01/10/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [09:00:00 01/10/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [10:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [10:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [10:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [10:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml t0: [10:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [10:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd
t0: [09:00:00 01/10/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 01/10/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 01/10/2009] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 01/10/2009] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 01/10/2009] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 01/10/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 01/10/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 01/10/2009] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 01/10/2009] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 01/10/2009] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 01/10/2009] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [11:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 82.6667 u1: mmHg st: NotStopd t0: [11:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd
t0: [08:00:00 01/10/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 01/10/2009] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: NPO st: NotStopd t0: [12:00:00 01/10/2009] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [12:00:00 01/10/2009] id: Eye Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/10/2009] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 01/10/2009] id: GU Cath Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 4 st: NotStopd t0: [12:00:00 01/10/2009] id: GU Catheter Size el: 0 cu: MICU-A cg: -1 v1: 16 French st: NotStopd t0: [12:00:00 01/10/2009] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 77 u1: BPM st: NotStopd t0: [12:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 01/10/2009] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Obese st: NotStopd t0: [12:00:00 01/10/2009] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/10/2009] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/10/2009] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [12:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 152 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 82.6667 u1: mmHg st: NotStopd t0: [12:00:00 01/10/2009] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/10/2009] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 01/10/2009] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 01/10/2009] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [12:00:00 01/10/2009] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/10/2009] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/10/2009] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [12:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 01/10/2009] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Green v2: Liquid st: NotStopd t0: [12:00:00 01/10/2009] id: Stool Management el: 0 cu: MICU-A cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 01/10/2009] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 01/10/2009] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.0556 u1: Deg. C st: NotStopd t0: [12:00:00 01/10/2009] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.9 u1: Deg. F st: NotStopd t0: [12:00:00 01/10/2009] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 01/10/2009] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/10/2009] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 216 rs: Manual st: NotStopd t0: [12:00:00 01/10/2009] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [11:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml t0: [11:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml t0: [12:00:00 01/10/2009] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 80 vu: ml t0: [12:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml t0: [12:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [23:00:00 01/10/2009] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: -1 cv: 250 ap: none
t0: [13:00:00 01/10/2009] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.7073 u1: ml/cmH st: NotStopd t0: [13:00:00 01/10/2009] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 01/10/2009] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [13:00:00 01/10/2009] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [13:00:00 01/10/2009] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [13:00:00 01/10/2009] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Tracheostomy st: NotStopd t0: [13:00:00 01/10/2009] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [13:00:00 01/10/2009] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 8 v2: . st: NotStopd t0: [13:00:00 01/10/2009] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [13:00:00 01/10/2009] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 01/10/2009] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [13:00:00 01/10/2009] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [13:00:00 01/10/2009] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9 u1: L/min st: NotStopd t0: [13:00:00 01/10/2009] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 01/10/2009] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [13:00:00 01/10/2009] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25.5 u1: cmH2O st: NotStopd t0: [13:00:00 01/10/2009] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [13:00:00 01/10/2009] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [13:00:00 01/10/2009] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 01/10/2009] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 01/10/2009] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 01/10/2009] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [13:00:00 01/10/2009] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 01/10/2009] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [13:00:00 01/10/2009] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [13:00:00 01/10/2009] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [13:00:00 01/10/2009] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 9 u1: # st: NotStopd t0: [13:00:00 01/10/2009] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [13:00:00 01/10/2009] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [13:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [13:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [13:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [13:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/10/2009] id: Peptamen Tube Feeding el: 2 cu: MICU-A cg: -1 ai: 168 vo: 40 vu: ml t0: [13:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [23:00:00 01/10/2009] dt: 24 id: 24h Total In el: 2 cu: -1 cg: -1 cv: 1010 ap: none t0: [23:00:00 01/10/2009] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: -1 cv: 560 ap: none
t0: [13:00:00 01/10/2009] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [13:00:00 01/10/2009] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [13:00:00 01/10/2009] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd
t0: [14:00:00 01/10/2009] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 01/10/2009] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [14:00:00 01/10/2009] id: NBP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 01/10/2009] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.6667 u1: mmHg st: NotStopd t0: [14:00:00 01/10/2009] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 01/10/2009] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 115 u1: kg st: NotStopd t0: [14:00:00 01/10/2009] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [14:00:00 01/10/2009] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 01/10/2009] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/10/2009] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 240 vu: ml
t0: [23:00:00 01/10/2009] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: -1 cv: 0 ap: none t0: [23:00:00 01/10/2009] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: -1 cv: 0 ap: none t0: [23:00:00 01/10/2009] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: -1 cv: 785 ap: none t0: [23:00:00 01/10/2009] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: -1 cv: 225 ap: none t0: [23:00:00 01/10/2009] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: -1 cv: 785 ap: none
tf: [17:48:00 01/10/2009] dt: 161 cu: MICU-A di: No Disch Status