This log is also available as text (s00439.txt) and as a (binary) annotation file (s00439.log).
Generated: Monday, 07-Jun-2010 13:20:11 EDT
(All dates below are surrogates.)
t0: [20:29:39 16/04/2012] tf: [20:17:49 23/04/2012] id: a40064 [view]
t0: [18:44:59 16/04/2012] tf: [20:20:59 24/04/2012] id: a40064n [view]
dd: 2859 ds: 1 ld: ANEMIA NOS
dd: 2760 ds: 7 ld: HYPEROSMOLALITY dd: 2851 ds: 8 ld: AC POSTHEMORRHAG ANEMIA dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 570 ds: 5 ld: ACUTE NECROSIS OF LIVER dd: 5849 ds: 6 ld: ACUTE RENAL FAILURE NOS dd: 82101 ds: 2 ld: FX FEMUR SHAFT-CLOSED dd: 9020 ds: 1 ld: INJURY ABDOMINAL AORTA dd: 9584 ds: 4 ld: TRAUMATIC SHOCK dd: 9964 ds: 1 ld: MALF INT ORTHPED DEV/GRF dd: 9964 ds: 3 ld: MALF INT ORTHPED DEV/GRF dd: E8859 ds: 9 ld: OTHR FALL-MOVING SIDEWAK
id: Dopamine el: 100 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 150 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: Gastric Meds el: 1 cu: CCU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Lactated Ringers el: 1 cu: CCU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
id: D5W el: 1 cu: CCU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CCU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [20:38:00 20/01/2013] dt: 10080 cu: CCU de: CC6A
t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Heart Rate el: 0 cu: CCU cg: RN v1: 116 u1: BPM st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:30:00 13/01/2013] tf: [19:00:00 18/01/2013] dt: 7110 id: NBP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [20:30:00 13/01/2013] tf: [19:00:00 18/01/2013] dt: 7110 id: NBP Mean el: 0 cu: CCU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:43:00 13/01/2013] id: BSA el: 1033 cu: CCU cg: -1 t0: [20:43:00 13/01/2013] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 65.4 u1: kg t0: [20:43:00 13/01/2013] id: Allergy 1 el: 1020 cu: CCU cg: -1 v1: No Known Drug Allergies t0: [20:43:00 13/01/2013] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: LOOSE HIP,LEFT SIDE t0: [20:43:00 13/01/2013] id: Service el: 1026 cu: CCU cg: -1 v1: ORT t0: [20:43:00 13/01/2013] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [20:43:00 13/01/2013] id: Readmission el: 1014 cu: CCU cg: -1 v1: No t0: [20:43:00 13/01/2013] id: Marital Status el: 1006 cu: CCU cg: -1 v1: W t0: [20:43:00 13/01/2013] id: Religion el: 1000 cu: CCU cg: -1 v1: JEW t0: [20:43:00 13/01/2013] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [20:43:00 13/01/2013] id: Ext el: 1010 cu: CCU cg: -1 t0: [20:43:00 13/01/2013] id: PIN el: 1012 cu: CCU cg: -1 t0: [20:43:00 13/01/2013] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:00:00 14/01/2013] dt: 1410 id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Non-Rebreather st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:00:00 14/01/2013] dt: 1410 id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5 u1: Deg. C st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Temperature F el: 0 cu: CCU cg: RN v1: 95.9 u1: Deg. F st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Behavior el: 0 cu: CCU cg: RN v1: Irritable st: NotStopd t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:30:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10088 id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [20:30:00 13/01/2013] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [21:00:00 13/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [20:30:00 13/01/2013] tf: [21:40:00 13/01/2013] dt: 70 id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4.07747 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Levophed el: 100 cu: CCU cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions am: 4 du: mcgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:45:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 115 u1: BPM st: NotStopd t0: [20:45:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [20:45:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 46.6667 u1: mmHg st: NotStopd t0: [20:45:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:45:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:45:00 13/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [20:45:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [21:00:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 85 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [21:00:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 13/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:45:00 13/01/2013] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 13/01/2013] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:05:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:05:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 119 u1: BPM st: NotStopd t0: [21:05:00 13/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:05:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:05:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [21:05:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:05:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:05:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:05:00 13/01/2013] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:15:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [21:15:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:15:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [21:15:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:15:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:15:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:20:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:20:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 123 u1: BPM st: NotStopd t0: [21:20:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [21:20:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 51.3333 u1: mmHg st: NotStopd t0: [21:20:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:20:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:20:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:15:00 13/01/2013] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:20:00 13/01/2013] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10058 id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd
t0: [21:20:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10038 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vu: ml nb: 1 t0: [21:20:00 13/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 50 vu: ml t0: [21:20:00 13/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [21:20:00 13/01/2013] tf: [00:30:00 14/01/2013] dt: 190 id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:30:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 124 u1: BPM st: NotStopd t0: [21:30:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:30:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [21:30:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:30:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:30:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 13/01/2013] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 13/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10058 id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 450 vu: ml
t0: [23:00:00 13/01/2013] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 450 ap: none
t0: [21:40:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:40:00 13/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:40:00 13/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:40:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 127 u1: BPM st: NotStopd t0: [21:40:00 13/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:40:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:40:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [21:40:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:40:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:40:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:45:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10013 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 62.5 vu: ml t0: [21:45:00 13/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 500 vu: ml t0: [21:45:00 13/01/2013] tf: [00:45:00 14/01/2013] dt: 180 id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.625 vu: ml
t0: [21:40:00 13/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
id: Packed RBC's el: 1 cu: CCU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [22:00:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 13/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:00:00 13/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [22:00:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 37.5 vu: ml t0: [22:00:00 13/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.375 vu: ml
t0: [21:40:00 13/01/2013] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [22:00:00 13/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:05:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:05:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:05:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 151 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:05:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [22:05:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:05:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:05:00 13/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:05:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:05:00 13/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 13/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 400 vu: ml
t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 16 u1: % rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 5.3 u1: gm/dl rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 231 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 1.82 u1: /mic l rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 23.9 rs: Final st: NotStopd
t0: [22:30:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 13/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 13/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:30:00 13/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:30:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:30:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [22:30:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:30:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:30:00 13/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:20:00 13/01/2013] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 13.945 vu: ml st: Stopped t0: [22:30:00 13/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [22:30:00 13/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 75 vu: ml t0: [22:30:00 13/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vu: ml nb: 1 t0: [22:30:00 13/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10.3125 vu: ml t0: [22:30:00 13/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [22:30:00 13/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 13/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 13/01/2013] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 13/01/2013] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 13/01/2013] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 13/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 175 cv: 1875 ap: none
t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 17.8 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd
t0: [23:00:00 13/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: 140 pv: 185.312 cv: 185.312 ap: none t0: [23:00:00 13/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: 140 pv: 185.312 cv: 1474.26 ap: none t0: [23:00:00 13/01/2013] dt: 24 id: 24h Total In el: 1 cu: CCU cg: 140 pv: 185.312 cv: 1924.26 ap: none t0: [23:00:00 13/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: 140 pv: 185.312 cv: 1924.26 ap: none
t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Differential-Bands Hematology el: 0 cu: CCU cg: 140 v1: 14 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 73 rs: Final st: NotStopd
t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 524 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 1.8 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 70 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Amylase Enzymes el: 0 cu: CCU cg: 140 v1: 123 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 64 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 285 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.4 rs: Final st: NotStopd
t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 448 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd
t0: [22:57:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9941 id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -16 rs: Final st: NotStopd t0: [22:57:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9941 id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [22:57:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9941 id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 24 u1: mmHg rs: Final st: NotStopd t0: [22:57:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9941 id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 284 u1: mmHg rs: Final st: NotStopd t0: [22:57:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9941 id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.21 rs: Final st: NotStopd
t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 375 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 8.5 u1: mEq/L rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 142 rs: Final st: NotStopd
t0: [21:46:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 10012 id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 1806 rs: Final st: NotStopd
t0: [23:00:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/01/2013] tf: [19:00:00 18/01/2013] dt: 6960 id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 13/01/2013] tf: [19:00:00 18/01/2013] dt: 6960 id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/01/2013] tf: [19:00:00 20/01/2013] dt: 9840 id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [23:00:00 13/01/2013] tf: [19:00:00 20/01/2013] dt: 9840 id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [23:00:00 13/01/2013] tf: [19:00:00 18/01/2013] dt: 6960 id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [23:00:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9938 id: Radiologic Study el: 0 cu: CCU cg: RN v1: CT scan st: NotStopd t0: [23:30:00 13/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 13/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:30:00 13/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:30:00 13/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:30:00 13/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:30:00 13/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [23:30:00 13/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 101.667 u1: mmHg st: NotStopd t0: [23:30:00 13/01/2013] tf: [19:00:00 20/01/2013] dt: 9810 id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:30:00 13/01/2013] tf: [19:00:00 20/01/2013] dt: 9810 id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 250 u1: mmHg st: NotStopd t0: [23:30:00 13/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:30:00 13/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:30:00 13/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 13/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [23:30:00 13/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5 u1: Deg. C st: NotStopd t0: [23:30:00 13/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.9 u1: Deg. F st: NotStopd t0: [23:30:00 13/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 13/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 150 vu: ml t0: [23:30:00 13/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 18.75 vu: ml
t0: [23:00:00 13/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 13/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [00:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: -1 v1: 132 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 72.6667 u1: mmHg st: NotStopd t0: [00:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [00:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 215 u1: mmHg st: NotStopd t0: [00:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 75 vu: ml t0: [00:00:00 14/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 18.75 vu: ml
t0: [00:00:00 14/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
id: Fresh Frozen Plasma el: 1 cu: CCU cg: -1 io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [00:02:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9876 id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [00:30:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:30:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:30:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 108 u1: BPM st: NotStopd t0: [00:30:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:30:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:30:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:30:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 166 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [00:30:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [00:30:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:30:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:30:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 13/01/2013] tf: [19:00:00 18/01/2013] dt: 6930 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 375 vu: ml t0: [00:00:00 14/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [00:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6900 id: Fresh Frozen Plasma IV Infusions el: 1 cu: CCU cg: RN ai: 110 vo: 327 vu: ml t0: [00:30:00 14/01/2013] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CCU cg: RN ai: 110 vo: 213 vu: ml t0: [00:30:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [23:00:00 14/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 14/01/2013] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 pv: 30 cv: 416 ap: none t0: [23:00:00 14/01/2013] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 30 cv: 416 ap: carryForward
t0: [00:45:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 112.5 vu: ml t0: [00:45:00 14/01/2013] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CCU cg: -1 ai: 110 vo: 346 vu: ml
t0: [23:00:00 14/01/2013] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: 140 cv: 5909 ap: none t0: [23:00:00 14/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 490 cv: 5249 ap: carryForward
t0: [00:45:00 14/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 23.4375 vu: ml st: Stopped
t0: [23:00:00 14/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 515.047 cv: 515.047 ap: none t0: [23:00:00 14/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 545.047 cv: 4384.8 ap: none t0: [23:00:00 14/01/2013] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 545.047 cv: 10293.8 ap: none t0: [23:00:00 14/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 515.047 cv: 9877.8 ap: carryForward
t0: [01:00:00 14/01/2013] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [01:09:00 14/01/2013] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [22:00:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9998 id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [22:00:00 13/01/2013] tf: [20:38:00 20/01/2013] dt: 9998 id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [22:30:00 13/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Non-Rebreather st: NotStopd t0: [22:30:00 13/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 15 u1: lpm st: NotStopd t0: [00:00:00 14/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 14/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 14/01/2013] id: Restraint Location el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 14/01/2013] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 14/01/2013] id: Behavior el: 0 cu: CCU cg: -1 v1: Appropriate st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Braden Score el: 0 cu: CCU cg: -1 v1: 12 u1: number st: NotStopd t0: [00:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9878 id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [01:00:00 14/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: -1 v1: 11 v2: 25 st: NotStopd t0: [01:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 14/01/2013] id: Diet Type el: 0 cu: CCU cg: -1 v1: NPO st: NotStopd t0: [01:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 14/01/2013] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [01:00:00 14/01/2013] id: GCS Total el: 0 cu: CCU cg: -1 v1: 15 u1: points st: NotStopd t0: [01:00:00 14/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Right Nare st: NotStopd t0: [01:00:00 14/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: -1 v1: Clamped st: NotStopd t0: [01:00:00 14/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 22 st: NotStopd t0: [01:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [01:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 14/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: -1 v1: 11 v2: 25 st: NotStopd t0: [01:00:00 14/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [01:00:00 14/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 11 v2: 25 st: NotStopd t0: [01:00:00 14/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 14/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 11 v2: 25 st: NotStopd t0: [01:00:00 14/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [01:00:00 14/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [01:00:00 14/01/2013] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 22 st: NotStopd t0: [01:00:00 14/01/2013] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [01:00:00 14/01/2013] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 22 st: NotStopd t0: [01:00:00 14/01/2013] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [01:00:00 14/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [01:00:00 14/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [01:00:00 14/01/2013] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [01:00:00 14/01/2013] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: -1 v1: 133 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 75.6667 u1: mmHg st: NotStopd t0: [01:00:00 14/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [01:00:00 14/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [01:00:00 14/01/2013] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 14/01/2013] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 3 st: NotStopd t0: [01:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 143 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [01:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 14/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [01:00:00 14/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [01:00:00 14/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [01:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9818 id: Stool Color/Consist el: 0 cu: CCU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [01:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9818 id: Stool Guaiac el: 0 cu: CCU cg: -1 v1: Positive st: NotStopd t0: [01:00:00 14/01/2013] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [01:00:00 14/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [01:00:00 14/01/2013] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [01:00:00 14/01/2013] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [01:00:00 14/01/2013] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 5 Oriented st: NotStopd t0: [01:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 37.5 vu: ml t0: [01:00:00 14/01/2013] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CCU cg: -1 ai: 110 vo: 348 vu: ml
t0: [00:30:00 14/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [02:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [02:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: -1 v1: 141 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 137 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [02:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [02:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 50 vu: ml t0: [02:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 150 vu: ml
t0: [02:23:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -8 rs: Final st: NotStopd t0: [02:23:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [02:23:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [02:23:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [02:23:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd
t0: [02:00:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 25.9 u1: % rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 127 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 18.6 rs: Final st: NotStopd
t0: [02:00:00 14/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.1 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 33.3 rs: Final st: NotStopd
t0: [03:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 115 u1: BPM st: NotStopd t0: [03:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 375 vu: ml t0: [03:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 150 vu: ml t0: [03:00:00 14/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 375 vu: ml
t0: [02:00:00 14/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 62 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd
t0: [03:30:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:30:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:30:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 116 u1: BPM st: NotStopd t0: [03:30:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:30:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:30:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [03:30:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:30:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:30:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:30:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:30:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:30:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9668 id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:30:00 14/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vu: ml nb: 1
t0: [02:00:00 14/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd
t0: [02:00:00 14/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.3 rs: Final st: NotStopd t0: [02:00:00 14/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd
t0: [01:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6840 id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6840 id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9818 id: Position el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [03:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9698 id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [04:00:00 14/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 14/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 14/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 14/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 14/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [04:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [04:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 14/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 14/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 14/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 14/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 14/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/01/2013] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [04:00:00 14/01/2013] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 14/01/2013] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [04:00:00 14/01/2013] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 14/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 14/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 14/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 14/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 14/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 14/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9638 id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 14/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 14/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [04:00:00 14/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [04:00:00 14/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 14/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 14/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 14/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 14/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 14/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 14/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 150 vu: ml t0: [04:00:00 14/01/2013] tf: [08:10:00 14/01/2013] dt: 250 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 26 vu: ml t0: [04:15:00 14/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 375 vu: ml
t0: [04:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:12:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [04:12:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [04:12:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [04:12:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [04:12:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd
t0: [04:00:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.9 u1: % rs: Final st: NotStopd t0: [04:00:00 14/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 14/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [04:00:00 14/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.68 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 14/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.4 rs: Final st: NotStopd
t0: [04:00:00 14/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 14/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.3 rs: Final st: NotStopd t0: [04:00:00 14/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 32.6 rs: Final st: NotStopd
t0: [04:00:00 14/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [04:00:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.3 rs: Final st: NotStopd
t0: [06:12:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [06:12:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [06:12:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [06:12:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [06:12:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [06:12:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9506 id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:00:00 14/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 14/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [04:00:00 14/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 14/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [05:00:00 14/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [05:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [05:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [05:00:00 14/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [05:00:00 14/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [05:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 72 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [05:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:15:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:15:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [05:15:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:15:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [05:15:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 75 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:15:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:15:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:15:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:15:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [05:15:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [06:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 69 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 134 u1: mmHg st: NotStopd t0: [06:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9638 id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml st: Restart t0: [04:00:00 14/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 4.6875 vu: ml t0: [06:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 300 vu: ml t0: [06:00:00 14/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 18.75 vu: ml
t0: [05:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.2 u1: % rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 114 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.51 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.7 rs: Final st: NotStopd t0: [06:12:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9506 id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.2299 u1: ml/dl st: NotStopd
t0: [06:00:00 14/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.3 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 31.5 rs: Final st: NotStopd
t0: [06:00:00 14/01/2013] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 69 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 65 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 112 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 7 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.5 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd
t0: [07:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 150 vu: ml nb: 1 t0: [07:00:00 14/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 18.75 vu: ml
t0: [06:00:00 14/01/2013] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 668 rs: Final st: NotStopd t0: [06:00:00 14/01/2013] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 889 rs: Final st: NotStopd
t0: [07:37:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -11 rs: Final st: NotStopd t0: [07:37:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 15 rs: Final st: NotStopd t0: [07:37:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [07:37:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [07:37:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.27 rs: Final st: NotStopd
t0: [07:37:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9421 id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 122 rs: Final st: NotStopd t0: [07:37:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9421 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 32 u1: % rs: Final st: NotStopd t0: [07:37:00 14/01/2013] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 0.97 rs: Final st: NotStopd t0: [07:37:00 14/01/2013] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 9.1 rs: Final st: NotStopd t0: [07:37:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.9 rs: Final st: NotStopd
t0: [07:48:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -12 rs: Final st: NotStopd t0: [07:48:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [07:48:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [07:48:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 322 u1: mmHg rs: Final st: NotStopd t0: [07:48:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.19 rs: Final st: NotStopd
id: Neosynephrine el: 100 cu: CCU cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip id: Levophed el: 101 cu: CCU cg: RN io: D5W 250.0ml + 16mcgmin Levophed IV Infusions am: 16 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ra: 4.6875 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 16mcgmin Levophed IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [07:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [07:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [07:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Significant Events el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 123 u1: BPM st: NotStopd t0: [08:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 59 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [08:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 14/01/2013] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd t0: [08:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 73 u1: % st: NotStopd t0: [08:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:05:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:05:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 129 u1: BPM st: NotStopd t0: [08:05:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:05:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [08:05:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:05:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:05:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 77 u1: % st: NotStopd t0: [08:05:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:10:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:10:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 130 u1: BPM st: NotStopd t0: [08:10:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:10:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [08:10:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:10:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [08:10:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:10:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:10:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 86 u1: % st: NotStopd t0: [08:10:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:10:00 14/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 26.5625 vu: ml t0: [08:10:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [07:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:05:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:10:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 27.7778 u1: ml/cmH st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 14/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 1 u1: torr st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2.8 st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Peak Flow el: 0 cu: CCU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 16.5 u1: cmH2O st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Pressure Support el: 0 cu: CCU cg: -1 v1: 0 u1: . st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 560 u1: ml/B st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [08:15:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:15:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 126 u1: BPM st: NotStopd t0: [08:15:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:15:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [08:15:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 52.6667 u1: mmHg st: NotStopd t0: [08:15:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [08:15:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [08:15:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:15:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:15:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:15:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:15:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 39.68 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:20:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:20:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:20:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:20:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 128 u1: BPM st: NotStopd t0: [08:20:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:20:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [08:20:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:20:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:20:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:20:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:20:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:20:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:25:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:25:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:25:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:25:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 124 u1: BPM st: NotStopd t0: [08:25:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:25:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [08:25:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 45 u1: mmHg st: NotStopd t0: [08:25:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 75 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:25:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:25:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:25:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:25:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:25:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:30:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 132 u1: BPM st: NotStopd t0: [08:30:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:30:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [08:30:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [08:30:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:30:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [08:30:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:30:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:30:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:10:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 175 vu: ml nb: 1 t0: [08:10:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vu: ml nb: 1 t0: [08:30:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 50 vu: ml t0: [08:30:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 100 vu: ml t0: [08:30:00 14/01/2013] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 9.35 vu: ml t0: [08:30:00 14/01/2013] tf: [09:30:00 14/01/2013] dt: 60 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [08:30:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:28:00 14/01/2013] id: CaO2 el: 0 cu: CCU cg: 140 v1: 15.0974 u1: ml/dl st: NotStopd t0: [08:28:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -13 rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 14 rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 334 u1: mmHg rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.18 rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 111 rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31 u1: % rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 0.99 rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 10.5 rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 6.1 rs: Final st: NotStopd t0: [08:28:00 14/01/2013] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 99 u1: % rs: Final st: NotStopd
t0: [08:32:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 27.6 u1: % rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 117 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.22 u1: /mic l rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.4 rs: Final st: NotStopd
io: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 20 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5/.45NS el: 1 cu: CCU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Lactated Ringers el: 1 cu: CCU cg: RN io: Lactated Ringers 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion id: Pre-Admission Intake el: 1 cu: CCU cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push id: Cath Lab Intake el: 1 cu: CCU cg: RN io: Cath Lab Intake Cath Lab Intake du: ml rt: Intravenous Push id: TF Residual el: 1 cu: CCU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [08:45:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:45:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:45:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 130 u1: BPM st: NotStopd t0: [08:45:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:45:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 163 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:45:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [08:45:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:45:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:45:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:45:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:45:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:45:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 135 u1: BPM st: NotStopd t0: [09:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 160 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [09:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [09:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:15:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:15:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:15:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 127 u1: BPM st: NotStopd t0: [09:15:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:15:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [09:15:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [09:15:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 167 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:15:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [09:15:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:15:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:15:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [09:15:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 127 u1: BPM st: NotStopd t0: [09:30:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:30:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [09:30:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 44.6667 u1: mmHg st: NotStopd t0: [09:30:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 73 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:30:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [09:30:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:30:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:30:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 60 vu: ml t0: [09:30:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9308 id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 60 vu: ml t0: [09:30:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml nb: 1 t0: [09:30:00 14/01/2013] tf: [12:00:00 16/01/2013] dt: 3030 id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 23.4375 vu: ml t0: [09:30:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [08:45:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9353 id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9398 id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [09:45:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:45:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:45:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 127 u1: BPM st: NotStopd t0: [09:45:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:45:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:45:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [09:45:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:45:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [09:45:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:45:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:45:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:46:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -12 rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 298 u1: mmHg rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.21 rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 164 rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 25 u1: % rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.31 rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 10.5 rs: Final st: NotStopd t0: [09:46:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.8 rs: Final st: NotStopd
id: D5W el: 2 cu: CCU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 3 cu: CCU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 4 cu: CCU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5/.45NS el: 2 cu: CCU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Pre-Admission Intake el: 2 cu: CCU cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push id: Cath Lab Intake el: 2 cu: CCU cg: RN io: Cath Lab Intake Cath Lab Intake du: ml rt: Intravenous Push id: TF Residual el: 2 cu: CCU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [10:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6300 id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 132 u1: BPM st: NotStopd t0: [10:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [10:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 120 u2: mmHg st: NotStopd t0: [10:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [10:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:30:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 128 u1: BPM st: NotStopd t0: [10:30:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:30:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [10:30:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [10:30:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:30:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:30:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 80 u1: % st: NotStopd t0: [10:30:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [10:30:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:30:00 14/01/2013] tf: [15:00:00 14/01/2013] dt: 270 id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 10 vu: ml t0: [10:30:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18.75 vu: ml t0: [10:30:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [10:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:32:00 14/01/2013] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 823 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 1080 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 71 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 64 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 1012 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 14 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.8 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 119 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 9.4 u1: mEq/L rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 6.4 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd
t0: [08:32:00 14/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.5 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 15.1 rs: Final st: NotStopd t0: [08:32:00 14/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 37.5 rs: Final st: NotStopd
t0: [10:15:00 14/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [10:15:00 14/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [10:15:00 14/01/2013] id: Airway Size el: 0 cu: CCU cg: RN v1: 7.5 mm st: NotStopd t0: [10:15:00 14/01/2013] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [10:15:00 14/01/2013] id: Intubation Date el: 0 cu: CCU cg: RN v1: 11 v2: 26 st: NotStopd t0: [10:15:00 14/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:15:00 14/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [10:15:00 14/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RN v1: 7200A st: NotStopd
t0: [08:32:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9366 id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd
t0: [12:38:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -9 rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 497 u1: mmHg rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd
t0: [12:38:00 14/01/2013] id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.4101 u1: ml/dl st: NotStopd t0: [12:38:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30 u1: % rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.09 rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 9.6 rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.2 rs: Final st: NotStopd t0: [12:38:00 14/01/2013] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [12:45:00 14/01/2013] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [08:32:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9366 id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 12.2 rs: Final st: NotStopd
t0: [13:00:00 14/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [14:00:00 14/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 27.7778 u1: ml/cmH st: NotStopd t0: [14:00:00 14/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 14/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [14:00:00 14/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [14:00:00 14/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [14:00:00 14/01/2013] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2.8 st: NotStopd t0: [14:00:00 14/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [14:00:00 14/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [14:00:00 14/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [14:00:00 14/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [14:00:00 14/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [14:00:00 14/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 14/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 9.6 u1: cmH2O st: NotStopd t0: [14:00:00 14/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [14:00:00 14/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 14/01/2013] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [14:00:00 14/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [14:00:00 14/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 20.4 u1: cmH2O st: NotStopd t0: [14:00:00 14/01/2013] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 14/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 0 u1: . st: NotStopd t0: [14:00:00 14/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [14:00:00 14/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [14:00:00 14/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [14:00:00 14/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 14/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [14:00:00 14/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [14:00:00 14/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [14:00:00 14/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [14:00:00 14/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [11:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [11:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [11:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [11:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [14:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 70 vu: ml t0: [14:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 70 vu: ml t0: [14:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 35 vu: ml t0: [14:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 65.625 vu: ml t0: [14:00:00 14/01/2013] tf: [18:00:00 14/01/2013] dt: 240 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [11:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [15:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [15:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [15:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 4.6875 vu: ml
t0: [15:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
id: Ativan el: 100 cu: CCU cg: RN io: D5W 200.0ml + 20mghr Ativan IV Infusions am: 20 du: mghr rt: IV Drip id: Fentanyl (Conc) el: 100 cu: CCU cg: RN io: Fentanyl Base 50.0ml + 2500mcghr Fentanyl (Conc) IV Drips am: 2500 du: mcghr rt: IV Drip id: Fentanyl (Conc) el: 100 cu: CCU cg: RN io: Fentanyl Base 100.0ml + 5000mcghr Fentanyl (Conc) IV Infusions am: 2500 du: mcghr rt: IV Drip id: Fentanyl (Conc) el: 101 cu: CCU cg: RN io: Fentanyl Base 50.0ml + 2500mcghr Fentanyl (Conc) IV Drips am: 5000 du: mcghr rt: IV Drip id: Fentanyl (Conc) el: 101 cu: CCU cg: RN io: Fentanyl Base 100.0ml + 5000mcghr Fentanyl (Conc) IV Infusions am: 5000 du: mcghr rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 200.0ml + 20mghr Ativan IV Infusions vo: 200 du: ml rt: Intravenous Push id: Fentanyl Base el: 1 cu: CCU cg: RN io: Fentanyl Base 50.0ml + 2500mcghr Fentanyl (Conc) IV Drips vo: 100 du: ml rt: Intravenous Push id: Fentanyl Base el: 1 cu: CCU cg: RN io: Fentanyl Base 100.0ml + 5000mcghr Fentanyl (Conc) IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [15:18:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -7 rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 197 u1: mmHg rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 141 rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 40 u1: % rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.1 rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 99 u1: % rs: Final st: NotStopd t0: [15:30:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:30:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:30:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:30:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [15:30:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:30:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:30:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:30:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:30:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [15:30:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [15:30:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [15:30:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2.34375 vu: ml t0: [15:30:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml
t0: [15:30:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:30:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 14/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [15:30:00 14/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [15:30:00 14/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [15:30:00 14/01/2013] id: Airway Size el: 0 cu: CCU cg: RN v1: 7.5 mm st: NotStopd t0: [15:30:00 14/01/2013] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [15:30:00 14/01/2013] id: Intubation Date el: 0 cu: CCU cg: RN v1: 11 v2: 26 st: NotStopd t0: [15:30:00 14/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [15:30:00 14/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [15:30:00 14/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RN v1: 7200A st: NotStopd
t0: [11:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 0 vu: ml nb: 1 t0: [15:30:00 14/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [15:30:00 14/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 1800 vu: ml t0: [15:30:00 14/01/2013] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CCU cg: RN ai: 110 vo: 1000 vu: ml
t0: [11:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9218 id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9218 id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:30:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [15:30:00 14/01/2013] tf: [15:00:00 15/01/2013] dt: 1410 id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 90 vu: ml
t0: [15:16:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 36.6 u1: % rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 13.3 u1: gm/dl rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.26 u1: /mic l rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.8 rs: Final st: NotStopd t0: [15:18:00 14/01/2013] id: CaO2 el: 0 cu: CCU cg: 140 v1: 18.2545 u1: ml/dl st: NotStopd
t0: [16:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [16:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 63 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [16:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 36.3333 u1: mmHg st: NotStopd t0: [16:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 65 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [16:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [16:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:16:00 14/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.4 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 37.6 rs: Final st: NotStopd
t0: [15:16:00 14/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 62 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 632 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 152 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5.3 rs: Final st: NotStopd t0: [15:16:00 14/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 142 rs: Final st: NotStopd
t0: [14:00:00 14/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [14:00:00 14/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [14:00:00 14/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [14:00:00 14/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [14:00:00 14/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 14/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [14:00:00 14/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [14:00:00 14/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [14:00:00 14/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6060 id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6060 id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [14:00:00 14/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 14/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 14/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [14:00:00 14/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:00:00 14/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [14:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6060 id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 14/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 14/01/2013] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [14:00:00 14/01/2013] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 14/01/2013] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [14:00:00 14/01/2013] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [14:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6060 id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [14:00:00 14/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 14/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 14/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [14:00:00 14/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 14/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [15:00:00 14/01/2013] tf: [20:00:00 18/01/2013] dt: 6060 id: Position Change el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [14:00:00 14/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6060 id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [14:00:00 14/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 14/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 14/01/2013] tf: [20:00:00 18/01/2013] dt: 6060 id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Liquid st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [14:00:00 14/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [14:00:00 14/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 14/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 9038 id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [15:00:00 14/01/2013] tf: [19:00:00 18/01/2013] dt: 6000 id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Orientation st: NotStopd t0: [15:00:00 14/01/2013] tf: [20:00:00 18/01/2013] dt: 6060 id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [15:00:00 14/01/2013] tf: [20:00:00 18/01/2013] dt: 6060 id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 14/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 14/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [15:00:00 14/01/2013] tf: [20:00:00 18/01/2013] dt: 6060 id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 14/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [15:00:00 14/01/2013] tf: [20:00:00 18/01/2013] dt: 6060 id: Restraint Type el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 14/01/2013] tf: [20:00:00 18/01/2013] dt: 6060 id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 14/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 14/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 14/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [15:00:00 14/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [15:00:00 14/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [17:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [17:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [17:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8858 id: PAP S/D el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [17:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 68 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [17:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [17:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 14/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [17:00:00 14/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [17:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 14/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [17:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [17:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [17:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 30 vu: ml t0: [17:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.375 vu: ml
t0: [17:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:16:00 14/01/2013] id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd
t0: [18:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [18:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 14/01/2013] id: PAP S/D el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [18:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [18:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [18:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [18:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 20 vu: ml t0: [18:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.5 vu: ml t0: [18:00:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 0 vu: ml
t0: [15:16:00 14/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 61 rs: Final st: NotStopd
t0: [19:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [19:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 63 u1: BPM st: NotStopd t0: [19:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 14/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [19:00:00 14/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 14/01/2013] id: PAP S/D el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [19:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [19:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [19:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 20 vu: ml t0: [19:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.75 vu: ml
t0: [19:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [19:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 14/01/2013] id: O2 Delivery Device el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 14/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 st: D/C'd
t0: [20:00:00 14/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [20:00:00 14/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 14/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 14/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 14/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 14/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:00:00 14/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 14/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 14/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 14/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [20:00:00 14/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [20:00:00 14/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 14/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13.3 u1: cmH2O st: NotStopd t0: [20:00:00 14/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [20:00:00 14/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 14/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 14/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 14/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 14/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 14/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 14/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 14/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 14/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 14/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [20:00:00 14/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 14/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 14/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 14/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:23:00 14/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [20:23:00 14/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [20:23:00 14/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [20:23:00 14/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [20:23:00 14/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd
t0: [20:00:00 14/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 14/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 14/01/2013] tf: [19:00:00 20/01/2013] dt: 8580 id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 14/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [20:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 14/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8678 id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 14/01/2013] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 14/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 14/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 14/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 14/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [20:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 14/01/2013] tf: [19:00:00 20/01/2013] dt: 8580 id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 14/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 14/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8678 id: IV #1 D/C Date el: 0 cu: CCU cg: RN v1: 11 v2: 26 st: NotStopd t0: [20:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8678 id: IV #2 D/C Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 14/01/2013] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 14/01/2013] id: IV #2 D/C Date el: 0 cu: CCU cg: RN v1: 11 v2: 26 st: NotStopd t0: [20:00:00 14/01/2013] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 14/01/2013] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 14/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8678 id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 14/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [20:00:00 14/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [20:00:00 14/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 14/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 14/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 14/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 14/01/2013] id: PAP S/D el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [20:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8678 id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 14/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:00:00 14/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 14/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [20:00:00 14/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 14/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 14/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8678 id: Skin Color el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Pale st: NotStopd t0: [20:00:00 14/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 14/01/2013] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [20:00:00 14/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 14/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 14/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 14/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [20:00:00 14/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [20:00:00 14/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 14/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Anesthetized st: NotStopd t0: [20:00:00 14/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 14/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 14/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 14/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 14/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 14/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 14/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 14/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [20:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 20 vu: ml t0: [20:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.75 vu: ml t0: [20:00:00 14/01/2013] tf: [20:38:00 20/01/2013] dt: 8678 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [20:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [20:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 14/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 14/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [21:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 14/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 14/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [21:00:00 14/01/2013] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 14/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 14/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [21:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 20 vu: ml t0: [21:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.75 vu: ml t0: [21:00:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [21:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [21:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:36:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.6 u1: % rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.6 u1: gm/dl rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 69 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.05 u1: /mic l rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.9 rs: Final st: NotStopd
t0: [20:36:00 14/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 63 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 619 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.9 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.5 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.8 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.7 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 34.4 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 7 u1: mEq/L rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.9 rs: Final st: NotStopd t0: [20:36:00 14/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 141 rs: Final st: NotStopd
t0: [20:36:00 14/01/2013] id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd
t0: [22:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [22:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [22:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [22:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [22:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 vu: ml t0: [22:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: -1 ai: 153 vo: 20 vu: ml t0: [22:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 3.75 vu: ml t0: [22:00:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [22:30:00 14/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 500 vu: ml
t0: [22:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/01/2013] id: Ativan el: 1 cu: CCU so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [22:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 14/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:30:00 14/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/01/2013] id: CVP el: 0 cu: CCU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 14/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 14/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [23:00:00 14/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 117 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [23:00:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 14/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [23:00:00 14/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 14/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 vu: ml t0: [23:00:00 14/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: -1 ai: 153 vo: 20 vu: ml t0: [23:00:00 14/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 3.04688 vu: ml t0: [23:00:00 14/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml
t0: [23:00:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/01/2013] id: Ativan el: 1 cu: CCU so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:00:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 14/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:47:00 14/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.1 u1: % rs: Final st: NotStopd
t0: [23:45:00 14/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:45:00 14/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:45:00 14/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 62 u1: BPM st: NotStopd t0: [23:45:00 14/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:45:00 14/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:45:00 14/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:45:00 14/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:45:00 14/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:45:00 14/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:45:00 14/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 14/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [23:45:00 14/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:45:00 14/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [00:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 143 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [00:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [00:00:00 15/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 vu: ml t0: [00:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: -1 ai: 153 vo: 20 vu: ml t0: [00:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 2.92969 vu: ml t0: [00:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml
t0: [00:00:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/01/2013] id: Ativan el: 1 cu: CCU so: D5W vo: 0 v1: 2 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 15/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 14/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/01/2013] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 15/01/2013] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 15/01/2013] id: Diet Type el: 0 cu: CCU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 15/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Absent v2: Doppler st: NotStopd t0: [00:00:00 15/01/2013] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 15/01/2013] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Called st: NotStopd t0: [00:00:00 15/01/2013] id: GCS Total el: 0 cu: CCU cg: -1 v1: 3 u1: points st: NotStopd t0: [00:00:00 15/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 15/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 15/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: -1 v1: 11 v2: 22 st: NotStopd t0: [00:00:00 15/01/2013] id: HOB el: 0 cu: CCU cg: -1 v1: Flat in Bed st: NotStopd t0: [00:00:00 15/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Firm Distended st: NotStopd t0: [00:00:00 15/01/2013] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 15/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [00:00:00 15/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cold v2: Pale st: NotStopd t0: [00:00:00 15/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/01/2013] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 15/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 15/01/2013] id: Motor Response el: 0 cu: CCU cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 15/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Transparent st: NotStopd t0: [00:00:00 15/01/2013] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/01/2013] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 15/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [00:00:00 15/01/2013] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 15/01/2013] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 15/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 15/01/2013] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 15/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cold v2: Pale st: NotStopd t0: [00:00:00 15/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 15/01/2013] id: Skin Color el: 0 cu: CCU cg: -1 v1: Pale st: NotStopd t0: [00:00:00 15/01/2013] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 8438 id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Clear v2: Thin st: NotStopd t0: [00:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 8438 id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: None st: NotStopd t0: [00:00:00 15/01/2013] id: Stool Guaiac el: 0 cu: CCU cg: -1 v1: Positive st: NotStopd t0: [00:00:00 15/01/2013] id: Stool Management el: 0 cu: CCU cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 15/01/2013] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [00:00:00 15/01/2013] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 15/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [00:00:00 15/01/2013] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [00:00:00 15/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 15/01/2013] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/01/2013] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 8438 id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 104 rs: Manual st: NotStopd
t0: [00:00:00 15/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml
t0: [00:30:00 15/01/2013] id: Ativan el: 1 cu: CCU so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [00:30:00 15/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [01:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 92 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [01:00:00 15/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 vu: ml t0: [01:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: -1 ai: 153 vo: 17.5 vu: ml t0: [01:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 3.04688 vu: ml t0: [01:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 40 vu: ml
t0: [01:00:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 15/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 15/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 4.375 cv: 4.375 ap: none t0: [23:00:00 15/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 64.375 cv: 2005.57 ap: none t0: [23:00:00 15/01/2013] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 84.375 cv: 2075.57 ap: none t0: [23:00:00 15/01/2013] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 80 cv: 1117 ap: none t0: [23:00:00 15/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 4.375 cv: 658.573 ap: none t0: [23:00:00 15/01/2013] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 80 cv: 1417 ap: none t0: [23:00:00 15/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -20 cv: 5567 ap: carryForward
t0: [00:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 122 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [00:35:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:35:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [00:40:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:40:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [00:45:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:45:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [00:50:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:50:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [00:55:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 89 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:55:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [01:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [01:05:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 87 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:05:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 56 u1: mmHg st: NotStopd
t0: [01:05:00 15/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 15/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [02:00:00 15/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [02:00:00 15/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [02:00:00 15/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [02:00:00 15/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [02:00:00 15/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.8 st: NotStopd t0: [02:00:00 15/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [02:00:00 15/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 15/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [02:00:00 15/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [02:00:00 15/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 15/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10.3 u1: cmH2O st: NotStopd t0: [02:00:00 15/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.76 u1: L/min st: NotStopd t0: [02:00:00 15/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 15/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [02:00:00 15/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [02:00:00 15/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [02:00:00 15/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [02:00:00 15/01/2013] tf: [12:00:00 15/01/2013] dt: 600 id: Remote Alarm el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [02:00:00 15/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [02:00:00 15/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [02:00:00 15/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [02:00:00 15/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [02:00:00 15/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 15/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [02:00:00 15/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [02:00:00 15/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [02:00:00 15/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [03:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [03:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 64 u1: BPM st: NotStopd t0: [03:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [03:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [03:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:30:00 15/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 50 vu: ml t0: [03:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 25 vu: ml t0: [03:30:00 15/01/2013] id: Lactated Ringers 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [03:30:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 vu: ml t0: [03:30:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: -1 ai: 153 vo: 37.5 vu: ml t0: [03:30:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 8.16406 vu: ml t0: [03:30:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 70 vu: ml
t0: [03:00:00 15/01/2013] id: Ativan el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:30:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 15/01/2013] id: Ativan el: 1 cu: CCU so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [03:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:30:00 15/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 63 u1: BPM st: NotStopd t0: [02:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 15/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [05:00:00 15/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [05:00:00 15/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [05:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/01/2013] tf: [19:00:00 20/01/2013] dt: 8040 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 15 vu: ml t0: [05:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [05:00:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [05:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 20 vu: ml t0: [05:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 4.92188 vu: ml t0: [05:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [02:00:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 15/01/2013] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 110 rs: Manual st: NotStopd
t0: [05:01:00 15/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [05:01:00 15/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [05:01:00 15/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [05:01:00 15/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [05:01:00 15/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd
t0: [05:01:00 15/01/2013] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.02 rs: Final st: NotStopd t0: [05:05:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:05:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:05:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:05:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:05:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:05:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:05:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:05:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:05:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:10:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:10:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:10:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:10:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:10:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [05:10:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:10:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:10:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:10:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:15:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:15:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:15:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:15:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:15:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [05:15:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:15:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:15:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:15:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:20:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:20:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:20:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:20:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:20:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [05:20:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:20:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:20:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:20:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:05:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:05:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:05:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:05:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:10:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:10:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:10:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:10:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:15:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:15:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:15:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:15:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:20:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:20:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:20:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:20:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:53:00 15/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 15.4 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 34.8 rs: Final st: NotStopd
t0: [04:53:00 15/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 37 u1: % rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.8 u1: gm/dl rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 83 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.17 u1: /mic l rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 12.3 rs: Final st: NotStopd
t0: [05:30:00 15/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [05:30:00 15/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:30:00 15/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:30:00 15/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:30:00 15/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:30:00 15/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.8 st: NotStopd t0: [05:30:00 15/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:30:00 15/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 15/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [05:30:00 15/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [05:30:00 15/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:30:00 15/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:30:00 15/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [05:30:00 15/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 15/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:30:00 15/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [05:30:00 15/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [05:30:00 15/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [05:30:00 15/01/2013] id: Remote Alarm el: 0 cu: CCU cg: RRT v1: No st: NotStopd t0: [05:30:00 15/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:30:00 15/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:30:00 15/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:30:00 15/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [05:30:00 15/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:30:00 15/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:30:00 15/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [05:30:00 15/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [05:30:00 15/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [05:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 61 u1: BPM st: NotStopd t0: [05:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:45:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [05:45:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:45:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [05:45:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:45:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:45:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:45:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:45:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:45:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:15:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:15:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:15:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:15:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:15:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [06:15:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:15:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:15:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [06:15:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 8078 id: Stool Out (non-specific) el: 2 cu: CCU cg: RN vu: ml es: Large t0: [06:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [06:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 15 vu: ml t0: [06:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.59375 vu: ml t0: [06:00:00 15/01/2013] id: Stool Out (non-specific) el: 2 cu: CCU cg: RN vo: 300 vu: ml t0: [06:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 85 vu: ml
t0: [05:30:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:45:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:45:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:45:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:45:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:15:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:15:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:15:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:15:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/01/2013] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward t0: [23:00:00 15/01/2013] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 300 ap: none
t0: [04:53:00 15/01/2013] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 83 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 64 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 447 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.9 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 6.2 u1: mEq/L rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd
t0: [05:50:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:50:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:50:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:50:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:50:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [05:50:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:50:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:50:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:50:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:55:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:55:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:55:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [05:55:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:55:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:55:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:55:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:55:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:55:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:05:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:05:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:05:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:05:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:05:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:05:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:05:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:05:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [06:05:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:10:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:10:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:10:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 65 u1: BPM st: NotStopd t0: [06:10:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:10:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:10:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:10:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:10:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:10:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:20:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:20:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:20:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [06:20:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:20:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [06:20:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:20:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:20:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:20:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:25:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:25:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:25:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:25:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:25:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [06:25:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:25:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:25:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [06:25:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [06:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:35:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:35:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:35:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:35:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [06:35:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [06:35:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:35:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:35:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:35:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:40:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:40:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:40:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:40:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:40:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [06:40:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:40:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:40:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:40:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:50:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:50:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:50:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:50:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:55:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:55:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:55:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:55:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:05:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:05:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:05:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:05:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:10:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:10:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:10:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:10:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:20:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:20:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:20:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:20:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:25:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:25:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:25:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:25:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:35:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:35:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:35:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:35:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:40:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:40:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:40:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:40:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:53:00 15/01/2013] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 1669 rs: Final st: NotStopd t0: [04:53:00 15/01/2013] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 2143 rs: Final st: NotStopd
t0: [07:00:00 15/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [07:00:00 15/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [07:00:00 15/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [07:00:00 15/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [07:00:00 15/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [07:00:00 15/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [07:00:00 15/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 15/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd
t0: [00:00:00 15/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 15/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 15/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 15/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 15/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 15/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [05:00:00 15/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [05:00:00 15/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 15/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [05:00:00 15/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [05:00:00 15/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [05:00:00 15/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [05:00:00 15/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 15/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [05:00:00 15/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [05:00:00 15/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 15/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 15/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 15/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 15/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [05:00:00 15/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 15/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 15/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 15/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [05:00:00 15/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 15/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [05:00:00 15/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 15/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 15/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [05:00:00 15/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 15/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 15/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [05:00:00 15/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 15/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 15/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 15/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 15/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [05:00:00 15/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [05:00:00 15/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [05:00:00 15/01/2013] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [05:00:00 15/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [05:00:00 15/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [05:00:00 15/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 15/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 15/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 15/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [01:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [02:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [04:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [05:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [06:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip
t0: [07:50:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:50:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:50:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [07:50:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:50:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [07:50:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:50:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:50:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [07:50:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:50:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:50:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [07:50:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:50:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 20.8333 u1: ml/cmH st: NotStopd t0: [08:00:00 15/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 15/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 15/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [08:00:00 15/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [08:00:00 15/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 15/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [08:00:00 15/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.2 u1: L/min st: NotStopd t0: [08:00:00 15/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 15/01/2013] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:00:00 15/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [08:00:00 15/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 15/01/2013] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 15/01/2013] id: Remote Alarm el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [08:00:00 15/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 15/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 15/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 15/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 7958 id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [08:00:00 15/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 15/01/2013] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [08:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 7958 id: Ventilator No. el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 15/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [08:00:00 15/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 15/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [07:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [07:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [07:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [07:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 15/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 15/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 7958 id: GU Catheter Size el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 15/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 15/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [08:00:00 15/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 15/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 15/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 15/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 15/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 15/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 15/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [08:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [08:00:00 15/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [08:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 15/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 15/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 15/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 15/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 15/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [07:30:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [07:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [08:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 22.5 vu: ml t0: [08:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.65625 vu: ml t0: [08:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [08:00:00 15/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 15/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 15/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 15/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd
t0: [08:00:00 15/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 15/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.1 u1: Deg. F st: NotStopd
t0: [08:31:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 st: D/C'd
t0: [08:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [08:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 144 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [08:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [08:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 500 vu: ml t0: [08:30:00 15/01/2013] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml t0: [08:30:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 5 vu: ml t0: [08:30:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2.34375 vu: ml
t0: [08:30:00 15/01/2013] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [08:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:53:00 15/01/2013] id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ra: 100 ru: ml/hr
id: .9% Normal Saline el: 3 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion
t0: [09:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [09:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [09:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 5 vu: ml t0: [09:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 1.875 vu: ml t0: [09:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [09:00:00 15/01/2013] tf: [17:00:00 15/01/2013] dt: 480 id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 1 vu: ml
t0: [09:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [09:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [09:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [09:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [09:30:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 5 vu: ml t0: [09:30:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 1.40625 vu: ml t0: [09:30:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 12 vu: ml t0: [09:30:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 1 vu: ml
t0: [09:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 200 su: ml rt: IV Drip t0: [09:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [10:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:15:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:15:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:15:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:15:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:15:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:15:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [10:15:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [10:15:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:15:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:15:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:15:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:15:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:15:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [10:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [10:30:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 7.5 vu: ml t0: [10:30:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.39844 vu: ml t0: [10:30:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [10:30:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 1.75 vu: ml
t0: [08:00:00 15/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 15/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [08:00:00 15/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 15/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 15/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 15/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 15/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [10:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 62 u1: BPM st: NotStopd t0: [10:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [10:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [10:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [10:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
t0: [12:00:00 15/01/2013] id: Remote Alarm el: 0 cu: CCU cg: -1 st: D/C'd
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [11:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [11:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [11:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [11:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 15/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 15/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 15/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 15/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 15/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 15/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 4 u1: points st: NotStopd t0: [12:00:00 15/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 15/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [12:00:00 15/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 15/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 15/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 15/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 15/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 15/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 15/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 15/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 15/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 15/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 15/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 15/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 15/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 15/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 15/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [12:00:00 15/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 15/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 15/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [12:00:00 15/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 15/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 15/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 15/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 15/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 15/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 15/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [12:00:00 15/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 15/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [12:00:00 15/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 15/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 15/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 15/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [12:00:00 15/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [12:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 15 vu: ml t0: [12:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 7.5 vu: ml t0: [12:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 5.625 vu: ml t0: [12:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [12:00:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 2.25 vu: ml
t0: [11:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 200 su: ml rt: IV Drip t0: [11:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 7688 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:30:00 15/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:30:00 15/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [12:30:00 15/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.1 u1: Deg. F st: NotStopd
t0: [12:50:00 15/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [12:50:00 15/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:50:00 15/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:50:00 15/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:50:00 15/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:50:00 15/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:50:00 15/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [12:50:00 15/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [12:50:00 15/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [12:50:00 15/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [12:50:00 15/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:50:00 15/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10.04 u1: cmH2O st: NotStopd t0: [12:50:00 15/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.1 u1: L/min st: NotStopd t0: [12:50:00 15/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:50:00 15/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:50:00 15/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [12:50:00 15/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20.3 u1: cmH2O st: NotStopd t0: [12:50:00 15/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [12:50:00 15/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:50:00 15/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:50:00 15/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:50:00 15/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:50:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:50:00 15/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [12:50:00 15/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [12:50:00 15/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:50:00 15/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [12:50:00 15/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [12:50:00 15/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [12:50:00 15/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
id: Fentanyl (Conc) el: 102 cu: CCU cg: RN io: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions am: 500 du: mcghr rt: IV Drip
io: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: Fentanyl Base el: 1 cu: CCU cg: RN io: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [12:45:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:45:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:45:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:45:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:45:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:45:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [12:45:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:45:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:45:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:45:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [13:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:22:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [13:22:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:22:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:22:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:22:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:22:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:22:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:22:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [13:22:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:22:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:22:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:22:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mghr sv: 200 su: ml rt: IV Drip t0: [12:45:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:45:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:45:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.25 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:22:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [13:22:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:22:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:22:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 15/01/2013] tf: [20:38:00 20/01/2013] dt: 7658 id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd
t0: [13:48:00 15/01/2013] id: BSA el: 1033 cu: CCU cg: -1 t0: [13:48:00 15/01/2013] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 65.4 u1: kg t0: [13:48:00 15/01/2013] id: Allergy 1 el: 1020 cu: CCU cg: -1 v1: No Known Drug Allergies t0: [13:48:00 15/01/2013] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: LOOSE HIP,LEFT SIDE t0: [13:48:00 15/01/2013] id: Service el: 1026 cu: CCU cg: -1 v1: ORT t0: [13:48:00 15/01/2013] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [13:48:00 15/01/2013] id: Readmission el: 1014 cu: CCU cg: -1 v1: No t0: [13:48:00 15/01/2013] id: Marital Status el: 1006 cu: CCU cg: -1 v1: W t0: [13:48:00 15/01/2013] id: Religion el: 1000 cu: CCU cg: -1 v1: JEW t0: [13:48:00 15/01/2013] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [13:48:00 15/01/2013] id: Ext el: 1010 cu: CCU cg: -1 t0: [13:48:00 15/01/2013] id: PIN el: 1012 cu: CCU cg: -1 t0: [13:48:00 15/01/2013] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [14:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [14:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 3.41667 vu: ml t0: [14:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.85938 vu: ml t0: [14:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [14:00:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 11 vu: ml
t0: [14:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 15/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 15/01/2013] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 101 rs: Manual st: NotStopd
t0: [14:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd
t0: [13:49:00 15/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.3 u1: % rs: Final st: NotStopd
t0: [04:53:00 15/01/2013] id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 10.7 rs: Final st: NotStopd
t0: [15:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 0 vu: ml t0: [15:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.75 vu: ml t0: [15:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [15:00:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 5 vu: ml
t0: [14:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [14:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 15/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 15/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 15/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 15/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [15:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [14:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [15:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
io: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: Criticare HN el: 1 cu: CCU cg: RN io: Criticare HN Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [14:00:00 15/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 15/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 15/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 15/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 15/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 15/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 15/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 15/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 15/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 15/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 15/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 15/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 15/01/2013] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Negative v2: 7 st: NotStopd t0: [16:00:00 15/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 15/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 15/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [16:00:00 15/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 15/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [16:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 15/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 15/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 15/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 15/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 15/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 15/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 15/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 15/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [16:00:00 15/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 15/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 15/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [16:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [16:00:00 15/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 15/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [16:00:00 15/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 15/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 15/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 15/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 15/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 15/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 15/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 15/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 15/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [16:00:00 15/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 15/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 15/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 15/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 15/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 15/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 15/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 15/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [16:00:00 15/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 15/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 15/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 15/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 15/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd t0: [16:06:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:06:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:06:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:06:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:06:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [16:06:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:06:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:06:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [16:06:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:06:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:06:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:06:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 0 vu: ml t0: [16:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3.75 vu: ml t0: [16:00:00 15/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vu: ml nb: 1 t0: [16:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [16:00:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 5 vu: ml
t0: [16:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:06:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:06:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:06:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 15/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 15/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [16:00:00 15/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.4 u1: Deg. F st: NotStopd
t0: [16:15:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:15:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:15:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:15:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:15:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:15:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [16:15:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:15:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:15:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:15:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:15:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:15:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:15:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:44:00 15/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 27.027 u1: ml/cmH st: NotStopd t0: [16:44:00 15/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:44:00 15/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:44:00 15/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:44:00 15/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:44:00 15/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:44:00 15/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:44:00 15/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [16:44:00 15/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [16:44:00 15/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [16:44:00 15/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:44:00 15/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [16:44:00 15/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [16:44:00 15/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:44:00 15/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:44:00 15/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 23.5 u1: cmH2O st: NotStopd t0: [16:44:00 15/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [16:44:00 15/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:44:00 15/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:44:00 15/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:44:00 15/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:44:00 15/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:44:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:44:00 15/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [16:44:00 15/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:44:00 15/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:44:00 15/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [16:44:00 15/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [16:44:00 15/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [16:45:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:45:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:45:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:45:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [16:45:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:45:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:45:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:45:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:46:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:46:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:46:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:46:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:46:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:46:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:46:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 71 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [16:46:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [16:46:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:46:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:46:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:46:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:45:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:45:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:45:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:46:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [16:46:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:46:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:06:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:15:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:45:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:46:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [17:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [17:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [17:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:00:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:15:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [17:15:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:15:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:15:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:15:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:15:00 15/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:15:00 15/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [17:15:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 72 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [17:15:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [17:15:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:15:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:15:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:15:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 350 vu: ml t0: [17:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 0 vu: ml t0: [17:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 5.75 vu: ml t0: [17:00:00 15/01/2013] tf: [14:00:00 17/01/2013] dt: 2700 id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [17:00:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: RN ai: 108 vo: 0 vu: ml
t0: [17:15:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:15:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:15:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:15:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:37:00 15/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [17:37:00 15/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [17:37:00 15/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [17:37:00 15/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [17:37:00 15/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd
t0: [17:46:00 15/01/2013] id: D5W 200.0ml + 20mghr Ativan IV Infusions el: 1 cu: CCU cg: -1 ai: 153 vo: 0 st: D/C'd t0: [17:46:00 15/01/2013] id: Fentanyl Base 100.0ml + 500mcghr Fentanyl (Conc) IV Infusions el: 1 cu: CCU cg: -1 ai: 108 vo: 0 st: D/C'd
t0: [17:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [17:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 15/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [17:30:00 15/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 51.6667 u1: mmHg st: NotStopd t0: [17:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 69 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [17:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [17:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:45:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:45:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:45:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [17:45:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:45:00 15/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [17:45:00 15/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 50.6667 u1: mmHg st: NotStopd t0: [17:45:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:45:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:45:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:45:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:45:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:45:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:30:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 15/01/2013] id: Ativan el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 200 su: ml rt: IV Drip t0: [17:45:00 15/01/2013] id: Fentanyl (Conc) el: 1 cu: CCU cg: RN so: Fentanyl Base vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:45:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:45:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 15/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.6 u1: % rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.7 u1: gm/dl rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 131 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.01 u1: /mic l rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15.2 rs: Final st: NotStopd
t0: [18:15:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [18:15:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:15:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:15:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:15:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:15:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:15:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [18:15:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:15:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:15:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:15:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 15/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:30:00 15/01/2013] id: NBP Mean el: 0 cu: CCU cg: RN v1: 54.3333 u1: mmHg st: NotStopd t0: [18:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 66 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [18:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [18:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:15:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:15:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 15/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 16.4 rs: Final st: NotStopd
t0: [17:00:00 15/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 74.4 rs: Final st: NotStopd
t0: [18:45:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:45:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:45:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:45:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:45:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:45:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [18:45:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [18:45:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:45:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:45:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:45:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:45:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 9 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 15/01/2013] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 97 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 63 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 111 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 94 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 5.9 u1: mEq/L rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd
t0: [18:46:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:46:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:46:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:46:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:46:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:46:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:46:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 71 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [18:46:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [18:46:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:46:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:46:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:46:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:46:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:46:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [19:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [19:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 67 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [19:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [19:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 13 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [19:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.8359 vu: ml t0: [19:00:00 15/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [17:00:00 15/01/2013] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 1607 rs: Final st: NotStopd t0: [17:00:00 15/01/2013] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 1441 rs: Final st: NotStopd
t0: [20:00:00 15/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 15/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 15/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 15/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 15/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 15/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 15/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 15/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 15/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 15/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 15/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 15/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 15/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 15/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 15/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 15/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 15/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [20:00:00 15/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 15/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 15/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 15/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Pale st: NotStopd t0: [20:00:00 15/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 15/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 15/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 15/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 15/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 15/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 15/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 15/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 15/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 15/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 15/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 15/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 15/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 15/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 15/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 15/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 15/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 15/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 15/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 15/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [20:00:00 15/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12.1875 vu: ml t0: [20:00:00 15/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [20:00:00 15/01/2013] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 13 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:30:00 15/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 25.9067 u1: ml/cmH st: NotStopd t0: [20:30:00 15/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:30:00 15/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:30:00 15/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:30:00 15/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:30:00 15/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:30:00 15/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:30:00 15/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 15/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [20:30:00 15/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [20:30:00 15/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [20:30:00 15/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:30:00 15/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [20:30:00 15/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [20:30:00 15/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:30:00 15/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:30:00 15/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24.3 u1: cmH2O st: NotStopd t0: [20:30:00 15/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19.2 u1: cmH2O st: NotStopd t0: [20:30:00 15/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:30:00 15/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:30:00 15/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:30:00 15/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:30:00 15/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:30:00 15/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [20:30:00 15/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:30:00 15/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [20:30:00 15/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [20:30:00 15/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:30:00 15/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12.1875 vu: ml t0: [21:00:00 15/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [21:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 13 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 15/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 15/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [22:00:00 15/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/01/2013] id: Radiologic Study el: 0 cu: CCU cg: RN v1: CT scan st: NotStopd t0: [22:00:00 15/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 15/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 15/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 15/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 15/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [22:00:00 15/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [22:30:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:30:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:30:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:30:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:30:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:30:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:30:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 15 vu: ml t0: [22:30:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [22:30:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18.2812 vu: ml t0: [22:30:00 15/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [22:30:00 15/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [22:30:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 13 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 15/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml
t0: [23:00:00 15/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [23:00:00 15/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 15/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 15/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 15/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 15/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 15/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 15/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 15/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 15/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 15/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 5 vu: ml t0: [23:00:00 15/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 15/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6.09375 vu: ml t0: [23:00:00 15/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 5 vu: ml
t0: [23:00:00 15/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 13 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/01/2013] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 20 cv: 70 ap: none
t0: [00:00:00 16/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 16/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 16/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 16/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [00:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 16/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [00:00:00 16/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:05:00 16/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [00:05:00 16/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:05:00 16/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:05:00 16/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:05:00 16/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:05:00 16/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.8 st: NotStopd t0: [00:05:00 16/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:05:00 16/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:05:00 16/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [00:05:00 16/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [00:05:00 16/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [00:05:00 16/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:05:00 16/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:05:00 16/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [00:05:00 16/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:05:00 16/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:05:00 16/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:05:00 16/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:05:00 16/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:05:00 16/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:05:00 16/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:05:00 16/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:05:00 16/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:05:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:05:00 16/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:05:00 16/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:05:00 16/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [00:05:00 16/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:05:00 16/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [00:05:00 16/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [00:05:00 16/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:05:00 16/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 16/01/2013] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 137 rs: Manual st: NotStopd
t0: [00:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [00:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [00:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 16/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 16/01/2013] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 16/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [00:00:00 16/01/2013] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 0 vu: ml t0: [00:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [00:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.1875 vu: ml t0: [00:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml
t0: [00:00:00 16/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 13 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 15/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [00:00:00 16/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 16/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 16/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 16/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 16/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 16/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 16/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [00:00:00 16/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 16/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 16/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 16/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 16/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 16/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 16/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [00:00:00 16/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [17:00:00 15/01/2013] id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 9.5 rs: Final st: NotStopd
t0: [01:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [01:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12.1875 vu: ml t0: [01:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [01:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 13 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 16/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 16/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [02:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [02:00:00 16/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 16/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 16/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [02:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12.1875 vu: ml t0: [02:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [02:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 11.25 vu: ml t0: [03:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [03:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 11 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:30:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:30:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:30:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:30:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:30:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:30:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:30:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [03:30:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 11 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 16/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:00:00 16/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 16/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 16/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 16/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 16/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.8 st: NotStopd t0: [04:00:00 16/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 16/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 16/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 16/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [04:00:00 16/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 16/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 16/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 16/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [04:00:00 16/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 16/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 16/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 16/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 16/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 16/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 16/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 16/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 16/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 16/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 16/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 16/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [04:00:00 16/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 16/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 16/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [04:00:00 16/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 16/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 16/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 16/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 16/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [00:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 16/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 16/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 16/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 16/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 16/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 16/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 16/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 16/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 16/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [04:00:00 16/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 16/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 16/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 16/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 16/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 16/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [04:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [04:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 16/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 16/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 16/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 16/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 16/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 16/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 16/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 16/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 16/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 16/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 16/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 16/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 16/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 16/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 16/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 16/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 16/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 16/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 16/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 16/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 16/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [04:00:00 16/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [04:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10.3125 vu: ml t0: [04:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [04:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [05:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [05:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 16/01/2013] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 16/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.2778 u1: Deg. C st: NotStopd t0: [05:00:00 16/01/2013] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.1 u1: Deg. F st: NotStopd t0: [05:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 16/01/2013] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 141 rs: Manual st: NotStopd
t0: [05:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [05:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 9.375 vu: ml t0: [05:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: -1 ai: 107 vo: 20 vu: ml t0: [05:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 70 vu: ml
t0: [05:00:00 16/01/2013] id: Levophed el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [05:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [04:00:00 16/01/2013] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml
t0: [05:27:00 16/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [05:27:00 16/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [05:27:00 16/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [05:27:00 16/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [05:27:00 16/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [05:27:00 16/01/2013] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [06:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9.375 vu: ml t0: [06:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [06:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 9 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 16/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.2 u1: % rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 150 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.93 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 14.7 rs: Final st: NotStopd t0: [05:27:00 16/01/2013] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.1397 u1: ml/dl st: NotStopd
t0: [05:00:00 16/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.5 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.7 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 32.9 rs: Final st: NotStopd
t0: [05:00:00 16/01/2013] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 64 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 112 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 133 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 5.8 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd
t0: [05:00:00 16/01/2013] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 1587 rs: Final st: NotStopd t0: [05:00:00 16/01/2013] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 1116 rs: Final st: NotStopd
t0: [08:00:00 16/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 16/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 16/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 16/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 16/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 16/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 16/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [08:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 16/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 16/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 16/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 16/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 16/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 16/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 16/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 16/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 16/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 16/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 16/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [08:00:00 16/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 16/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 16/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 16/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16.875 vu: ml t0: [08:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [08:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 16/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml
t0: [09:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 16/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 16/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [09:00:00 16/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 5 u1: points st: NotStopd t0: [09:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [09:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [09:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [09:00:00 16/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 16/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [09:00:00 16/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [09:00:00 16/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [09:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 16/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [08:30:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:30:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:30:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:30:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:30:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:30:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:30:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [09:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:30:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:30:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:30:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:30:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:30:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:30:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:30:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 6 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 16/01/2013] id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 22.3 rs: Final st: NotStopd
t0: [09:00:00 16/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [09:00:00 16/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [09:00:00 16/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 16/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 16/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:00:00 16/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 4.4 st: NotStopd t0: [09:00:00 16/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 16/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 16/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [09:00:00 16/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [09:00:00 16/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 16/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 16/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:00:00 16/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [09:00:00 16/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 16/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [09:00:00 16/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [09:00:00 16/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [09:00:00 16/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [09:00:00 16/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 16/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 16/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 16/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 16/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [09:00:00 16/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 16/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 16/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [09:00:00 16/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [09:00:00 16/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [09:45:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:45:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:45:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:45:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:45:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:45:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:45:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:45:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:45:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [09:45:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:45:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [10:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:45:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
id: Heparin el: 200 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ra: 8 ru: ml/hr
id: D5W el: 2 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vu: ml nb: 1 t0: [10:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 11.9531 vu: ml t0: [10:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 40 vu: ml t0: [10:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [10:00:00 16/01/2013] tf: [00:30:00 17/01/2013] dt: 870 id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:30:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:30:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [10:30:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:30:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [10:30:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:30:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:30:00 16/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [10:30:00 16/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [10:30:00 16/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [10:30:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 16/01/2013] tf: [20:00:00 16/01/2013] dt: 570 id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [10:30:00 16/01/2013] tf: [20:38:00 20/01/2013] dt: 6368 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [10:30:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 4 vu: ml t0: [10:30:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 1.40625 vu: ml t0: [10:30:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [10:30:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [10:00:00 16/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 16/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 16/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 16/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 16/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 16/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 16/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [11:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 16/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [11:00:00 16/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 5 u1: points st: NotStopd t0: [11:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [11:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [11:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [11:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [11:00:00 16/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [11:00:00 16/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [11:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [11:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [11:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 16/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 16/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [10:00:00 16/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [10:00:00 16/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [10:00:00 16/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [10:00:00 16/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [10:00:00 16/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [10:00:00 16/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [10:00:00 16/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 16/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd
t0: [12:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [12:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/01/2013] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [12:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [12:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [12:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [12:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:08:00 16/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [12:08:00 16/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [12:08:00 16/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [12:08:00 16/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [12:08:00 16/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [12:08:00 16/01/2013] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd
t0: [13:00:00 16/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [13:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [13:00:00 16/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [13:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [13:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [13:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [13:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [13:00:00 16/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 16/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [13:00:00 16/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [13:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 163 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [13:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [13:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 16/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 16/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [13:00:00 16/01/2013] id: Radiologic Study el: 0 cu: CCU cg: RN v1: XRAY st: NotStopd t0: [13:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [13:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 16/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [13:00:00 16/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [13:00:00 16/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 16/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [13:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 16/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 20.8333 u1: ml/cmH st: NotStopd t0: [13:00:00 16/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [13:00:00 16/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 16/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 16/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 16/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.7 st: NotStopd t0: [13:00:00 16/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 16/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 16/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [13:00:00 16/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [13:00:00 16/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [13:00:00 16/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 16/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.4 u1: cmH2O st: NotStopd t0: [13:00:00 16/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.03 u1: L/min st: NotStopd t0: [13:00:00 16/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 16/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [13:00:00 16/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [13:00:00 16/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [13:00:00 16/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [13:00:00 16/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [13:00:00 16/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:00:00 16/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 16/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 16/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [13:00:00 16/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 16/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 16/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [13:00:00 16/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 16/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: CoWork ai: 107 vo: 30 vu: ml t0: [15:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: CoWork ai: 154 vo: 24 vu: ml t0: [15:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: CoWork ai: 189 vo: 0 vu: ml t0: [15:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: CoWork ai: 107 vo: 60 vu: ml t0: [15:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: CoWork vo: 60 vu: ml
t0: [14:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/01/2013] id: NBP el: 0 cu: CCU cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [15:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 205 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [15:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [15:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [15:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 16/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 16/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 16/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [16:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 8 vu: ml t0: [16:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [16:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [14:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 16/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 16/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 16/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 5 u1: points st: NotStopd t0: [16:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 16/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [16:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 16/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 16/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 16/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 16/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 16/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 16/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 16/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 16/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 16/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [16:00:00 16/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 16/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 16/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 16/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 16/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [13:00:00 16/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 16/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 16/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 16/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [13:00:00 16/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 16/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [15:00:00 16/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 16/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 16/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 16/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 16/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 16/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 16/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 16/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [15:55:00 16/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.2 u1: % rs: Final st: NotStopd
t0: [16:00:00 16/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 16/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 16/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:00:00 16/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 16/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 16/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd
t0: [15:55:00 16/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [15:55:00 16/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 15.7 rs: Final st: NotStopd
t0: [15:55:00 16/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 88.5 rs: Final st: NotStopd
t0: [17:00:00 16/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 20 u1: ml/cmH st: NotStopd t0: [17:00:00 16/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [17:00:00 16/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 16/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 16/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 16/01/2013] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.7 st: NotStopd t0: [17:00:00 16/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 16/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 16/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [17:00:00 16/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [17:00:00 16/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 16/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 16/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.7 u1: cmH2O st: NotStopd t0: [17:00:00 16/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.28 u1: L/min st: NotStopd t0: [17:00:00 16/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 16/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:00:00 16/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [17:00:00 16/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [17:00:00 16/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [17:00:00 16/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [17:00:00 16/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:00:00 16/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 16/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:00:00 16/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 16/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 16/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 16/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [17:00:00 16/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 16/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 16/01/2013] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [17:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [17:30:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 11.5 vu: ml t0: [17:30:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [17:30:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [17:30:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 220 vu: ml
t0: [16:00:00 16/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 16/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 16/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 16/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 16/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 16/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 16/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 16/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd
t0: [18:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [18:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [18:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [18:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [18:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [18:00:00 16/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [18:00:00 16/01/2013] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [18:00:00 16/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [18:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd
t0: [18:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 3.5 vu: ml t0: [18:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [18:00:00 16/01/2013] id: Stool Out (non-specific) el: 2 cu: CCU cg: RN vo: 250 vu: ml t0: [18:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml
t0: [23:00:00 16/01/2013] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 250 ap: none
t0: [19:00:00 16/01/2013] id: D5W 250.0ml + 16mcgmin Levophed IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [19:00:00 16/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [19:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [19:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 16/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [19:00:00 16/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [19:00:00 16/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [19:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 16/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 16/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 16/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 16/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 16/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 4 u1: points st: NotStopd t0: [20:00:00 16/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 16/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Clear st: NotStopd t0: [20:00:00 16/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 16/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 16/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 16/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 16/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 16/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 16/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 16/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 16/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 16/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 16/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 16/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 16/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 16/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 16/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 16/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 16/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 16/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 16/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 16/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 16/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 16/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 16/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 16/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 16/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 16/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 16/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [19:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [19:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 16/01/2013] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [20:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 250 vu: ml
t0: [19:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 16/01/2013] id: Levophed el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [20:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 16/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [20:00:00 16/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 16/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 16/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 16/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 16/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 16/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 16/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 16/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [20:00:00 16/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 16/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 16/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.7 u1: cmH2O st: NotStopd t0: [20:00:00 16/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [20:00:00 16/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 16/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 16/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 16/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 16/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 16/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [20:00:00 16/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 16/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 16/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 16/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 16/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 16/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 16/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [20:00:00 16/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 16/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 16/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [21:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 16/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 16/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 16/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 146 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [21:00:00 16/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 16/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 16/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 16/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 16/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [21:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [21:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [21:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [22:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [22:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [22:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 16/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 16/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [22:00:00 16/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 16/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 16/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 16/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 16/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [22:00:00 16/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [23:00:00 16/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 16/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 16/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 16/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 16/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 16/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 16/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 16/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [23:00:00 16/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 16/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 16/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 16/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [23:00:00 16/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 16/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [23:00:00 16/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 16/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -53 cv: -53 ap: none t0: [23:00:00 16/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 17 cv: 855.109 ap: none t0: [23:00:00 16/01/2013] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 47 cv: 1355.11 ap: none t0: [23:00:00 16/01/2013] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 30 cv: 500 ap: none t0: [23:00:00 16/01/2013] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 100 cv: 1820 ap: none t0: [23:00:00 16/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -53 cv: -714.891 ap: none t0: [23:00:00 16/01/2013] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 100 cv: 2070 ap: none t0: [23:00:00 16/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -60 cv: 4647 ap: carryForward
t0: [00:00:00 17/01/2013] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 154 rs: Manual st: NotStopd
t0: [23:00:00 16/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 114.7 rs: Final st: NotStopd
t0: [23:00:00 16/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [23:00:00 16/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd
t0: [00:00:00 17/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 17/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 17/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 17/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 17/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 4 u1: points st: NotStopd t0: [00:00:00 17/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 17/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [00:00:00 17/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [00:00:00 17/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 17/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 17/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 17/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 17/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 17/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 17/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 17/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 17/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 17/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 17/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 17/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 17/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 17/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 17/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 17/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 17/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 17/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 17/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 17/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 17/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [00:00:00 17/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 17/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 17/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 17/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 17/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [00:00:00 17/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 17/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 17/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 17/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 17/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 17/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 17/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 17/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 17/01/2013] tf: [20:00:00 18/01/2013] dt: 2640 id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [00:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [00:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:30:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [00:00:00 17/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:00:00 17/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 17/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 17/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 17/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 17/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 17/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 17/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 17/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [00:00:00 17/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 17/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 17/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.3 u1: cmH2O st: NotStopd t0: [00:00:00 17/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [00:00:00 17/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 17/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 17/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 17/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 17/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 17/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [00:00:00 17/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 17/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 17/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 17/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 17/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 17/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 17/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [00:00:00 17/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 17/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [01:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [01:30:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vu: ml st: Restart
t0: [01:30:00 17/01/2013] tf: [20:38:00 20/01/2013] dt: 5468 id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [02:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [03:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 3 vu: ml t0: [02:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [03:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 6 vu: ml t0: [03:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [03:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [02:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 17/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [00:00:00 17/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 17/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 17/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [02:00:00 17/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 17/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 17/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 17/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 17/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 17/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 17/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 17/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 17/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 17/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 4 u1: points st: NotStopd t0: [04:00:00 17/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 17/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [04:00:00 17/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [04:00:00 17/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [04:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 17/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 17/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 17/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 17/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 17/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 17/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 17/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 17/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 17/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 17/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 17/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 17/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 17/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 17/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 17/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 17/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 17/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 17/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 17/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 17/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 17/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 17/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [04:00:00 17/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 17/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 17/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 17/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 17/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 17/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 17/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 17/01/2013] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 6 vu: ml t0: [04:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [04:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 16/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [20:00:00 16/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 17/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [04:00:00 17/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:30:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 133 u1: BPM st: NotStopd t0: [04:30:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 154 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:30:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [04:30:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:30:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:30:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [04:30:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 17/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [05:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 17/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 17/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 17/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 17/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 17/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 17/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 17/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 17/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 6 vu: ml t0: [05:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [05:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [04:30:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 17/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [05:00:00 17/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 17/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 17/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 17/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 17/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 17/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 17/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 17/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [05:00:00 17/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 17/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 17/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [05:00:00 17/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [05:00:00 17/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 17/01/2013] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:00:00 17/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:00:00 17/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 17/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [05:00:00 17/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 17/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 17/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 17/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [05:00:00 17/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 17/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 17/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [05:00:00 17/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 17/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 17/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [06:00:00 17/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 17/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 17/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 17/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 17/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [06:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 6 vu: ml t0: [06:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [06:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 17/01/2013] id: Stool Out (non-specific) el: 2 cu: CCU cg: RN vo: 100 vu: ml
t0: [23:00:00 17/01/2013] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 100 ap: none
t0: [06:33:00 17/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [06:33:00 17/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [06:33:00 17/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [06:33:00 17/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [06:33:00 17/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [06:33:00 17/01/2013] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd
t0: [06:15:00 17/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.1 u1: % rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 168 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.7 u1: /mic l rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15 rs: Final st: NotStopd
t0: [06:15:00 17/01/2013] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 407 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 66 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 112 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 170 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.2 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd t0: [06:15:00 17/01/2013] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd
t0: [06:15:00 17/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 71.1 rs: Final st: NotStopd
t0: [06:15:00 17/01/2013] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 1052 rs: Final st: NotStopd
t0: [08:00:00 17/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 17/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 17/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 17/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 17/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 17/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 17/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [08:00:00 17/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [08:00:00 17/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [08:00:00 17/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 17/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 8.5 u1: cmH2O st: NotStopd t0: [08:00:00 17/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11 u1: L/min st: NotStopd t0: [08:00:00 17/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 17/01/2013] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:00:00 17/01/2013] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 17/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 17/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 17/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 17/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 17/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 17/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [08:00:00 17/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 17/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 17/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 17/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 17/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [08:00:00 17/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 17/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 17/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 17/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 17/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 17/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [08:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 80 vu: ml t0: [08:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 210 vu: ml
t0: [08:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 17/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 15 u1: . st: NotStopd t0: [08:00:00 17/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd
t0: [09:24:00 17/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [09:24:00 17/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [09:24:00 17/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [09:24:00 17/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [09:24:00 17/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd
t0: [09:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [09:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:15:00 17/01/2013] id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 17.4 rs: Final st: NotStopd
t0: [08:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 17/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 17/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [10:00:00 17/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [10:00:00 17/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [10:00:00 17/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 17/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 17/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 17/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [10:00:00 17/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [10:00:00 17/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 17/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [10:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 17/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 17/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 17/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 17/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 17/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [10:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 17/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 17/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [10:00:00 17/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [10:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 17/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [10:00:00 17/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [10:00:00 17/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [10:00:00 17/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [10:00:00 17/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [10:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [10:00:00 17/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [10:00:00 17/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 17/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [10:00:00 17/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [10:00:00 17/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [10:00:00 17/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [10:00:00 17/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [10:00:00 17/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [10:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [10:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 80 vu: ml t0: [10:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [10:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 17/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [11:00:00 17/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 17/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [11:00:00 17/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 17/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [11:00:00 17/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [11:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 17/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [11:00:00 17/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [11:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 17/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [12:00:00 17/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 17/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 17/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 17/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 17/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 17/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [12:00:00 17/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [12:00:00 17/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 17/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 8.6 u1: cmH2O st: NotStopd t0: [12:00:00 17/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [12:00:00 17/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 17/01/2013] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [12:00:00 17/01/2013] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 17/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [12:00:00 17/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [12:00:00 17/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 17/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 560 u1: ml/B st: NotStopd t0: [12:00:00 17/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 17/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [12:00:00 17/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [12:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [12:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 80 vu: ml t0: [12:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [12:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:42:00 17/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [12:42:00 17/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [12:42:00 17/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [12:42:00 17/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [12:42:00 17/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd
t0: [12:42:00 17/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 184 rs: Final st: NotStopd
t0: [13:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 170 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [13:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [13:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 17/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 17/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 17/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 6 u1: points st: NotStopd t0: [14:00:00 17/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [14:00:00 17/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [14:00:00 17/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [14:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [14:00:00 17/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [14:00:00 17/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [14:00:00 17/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [14:00:00 17/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [14:00:00 17/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [14:00:00 17/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 17/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 17/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [14:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 17/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 17/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [14:00:00 17/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 17/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [14:00:00 17/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 17/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 17/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 17/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [14:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [14:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml
t0: [13:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 17/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [09:00:00 17/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [09:00:00 17/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [09:00:00 17/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 17/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:30:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [14:30:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:30:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:30:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:30:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:30:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:30:00 17/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:30:00 17/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [14:30:00 17/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [14:30:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 80 vu: ml st: Stopped t0: [14:30:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [14:30:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 152 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [15:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 17/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 17/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 17/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 17/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 17/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 17/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 17/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 17/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Other/Remarks st: NotStopd t0: [16:00:00 17/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [16:00:00 17/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 17/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 17/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 17/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 17/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 17/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 17/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 17/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 17/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 17/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 17/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 17/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 17/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 17/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 17/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [16:00:00 17/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [16:00:00 17/01/2013] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [16:00:00 17/01/2013] tf: [09:30:00 18/01/2013] dt: 1050 id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 55 vu: ml t0: [16:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [16:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 17/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml
t0: [17:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [17:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [17:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 6 vu: ml t0: [17:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 55 vu: ml t0: [17:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [17:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 17/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [17:00:00 17/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [17:00:00 17/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [17:00:00 17/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: RN v1: 128 rs: Manual st: NotStopd
t0: [18:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 6 vu: ml t0: [18:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 55 vu: ml t0: [18:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [18:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 17/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 17/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 17/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 17/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 17/01/2013] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 17/01/2013] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 17/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 17/01/2013] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 11 v2: 26 st: NotStopd t0: [20:00:00 17/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 17/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 17/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.8 u1: cmH2O st: NotStopd t0: [20:00:00 17/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [20:00:00 17/01/2013] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 17/01/2013] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 17/01/2013] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 17/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 17/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:00:00 17/01/2013] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [20:00:00 17/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 17/01/2013] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 28 u1: # st: NotStopd t0: [20:00:00 17/01/2013] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd
t0: [21:00:00 17/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 17/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 17/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 17/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 17/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [21:00:00 17/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [21:00:00 17/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [21:00:00 17/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [21:00:00 17/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding v2: Other/Remarks st: NotStopd t0: [21:00:00 17/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [21:00:00 17/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [21:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 17/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 17/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [21:00:00 17/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 17/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 17/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:00:00 17/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [21:00:00 17/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [21:00:00 17/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 17/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 17/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [21:00:00 17/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [21:00:00 17/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [21:00:00 17/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [21:00:00 17/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 17/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 17/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [21:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 166 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [21:00:00 17/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 17/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 17/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 17/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 17/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [21:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 17/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 17/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 17/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 17/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 17/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 17/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [21:00:00 17/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [21:00:00 17/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [21:00:00 17/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [21:00:00 17/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 17/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 17/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Unresponsive st: NotStopd t0: [21:00:00 17/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [21:00:00 17/01/2013] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [21:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [21:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 18 vu: ml t0: [21:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 165 vu: ml t0: [21:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 220 vu: ml
t0: [21:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 17/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 17/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 17/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 17/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 17/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 17/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 17/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 17/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:01:00 17/01/2013] id: BSA el: 1033 cu: CCU cg: -1 t0: [23:01:00 17/01/2013] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 65.4 u1: kg t0: [23:01:00 17/01/2013] id: Allergy 1 el: 1020 cu: CCU cg: -1 v1: No Known Drug Allergies t0: [23:01:00 17/01/2013] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: LOOSE HIP,LEFT SIDE t0: [23:01:00 17/01/2013] id: Service el: 1026 cu: CCU cg: -1 v1: ORT t0: [23:01:00 17/01/2013] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [23:01:00 17/01/2013] id: Readmission el: 1014 cu: CCU cg: -1 v1: No t0: [23:01:00 17/01/2013] id: Marital Status el: 1006 cu: CCU cg: -1 v1: W t0: [23:01:00 17/01/2013] id: Religion el: 1000 cu: CCU cg: -1 v1: JEW t0: [23:01:00 17/01/2013] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [23:01:00 17/01/2013] id: Ext el: 1010 cu: CCU cg: -1 t0: [23:01:00 17/01/2013] id: PIN el: 1012 cu: CCU cg: -1 t0: [23:01:00 17/01/2013] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [23:00:00 17/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 17/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [23:00:00 17/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 110 vu: ml t0: [23:00:00 17/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [23:00:00 17/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 17/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 32 cv: 32 ap: none t0: [23:00:00 17/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 32 cv: 676 ap: none t0: [23:00:00 17/01/2013] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 142 cv: 1656 ap: none t0: [23:00:00 17/01/2013] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 110 cv: 980 ap: none t0: [23:00:00 17/01/2013] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 110 cv: 1920 ap: none t0: [23:00:00 17/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 32 cv: -364 ap: none t0: [23:00:00 17/01/2013] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 110 cv: 2020 ap: none t0: [23:00:00 17/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 20 cv: 4147 ap: carryForward t0: [23:00:00 18/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -110 cv: 3657 ap: carryForward
t0: [02:19:00 18/01/2013] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 30.8642 u1: ml/cmH st: NotStopd t0: [02:19:00 18/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [02:19:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [02:19:00 18/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [02:19:00 18/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [02:19:00 18/01/2013] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2.5 st: NotStopd t0: [02:19:00 18/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [02:19:00 18/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [02:19:00 18/01/2013] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [02:19:00 18/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [02:19:00 18/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [02:19:00 18/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [02:19:00 18/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [02:19:00 18/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8 u1: L/min st: NotStopd t0: [02:19:00 18/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [02:19:00 18/01/2013] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [02:19:00 18/01/2013] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 21.2 u1: cmH2O st: NotStopd t0: [02:19:00 18/01/2013] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 16.6 u1: cmH2O st: NotStopd t0: [02:19:00 18/01/2013] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [02:19:00 18/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [02:19:00 18/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [02:19:00 18/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [02:19:00 18/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [02:19:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:19:00 18/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [02:19:00 18/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [02:19:00 18/01/2013] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [02:19:00 18/01/2013] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [02:19:00 18/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [02:19:00 18/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [02:19:00 18/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [02:19:00 18/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 18/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [01:00:00 18/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [01:00:00 18/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [01:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [01:00:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 110 vu: ml t0: [01:00:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 135 vu: ml
t0: [01:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [03:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [03:00:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 110 vu: ml t0: [03:00:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 105 vu: ml
t0: [03:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:43:00 18/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [05:43:00 18/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [05:43:00 18/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [05:43:00 18/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [05:43:00 18/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [05:43:00 18/01/2013] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.06 rs: Final st: NotStopd
t0: [05:42:00 18/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35.4 u1: % rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.1 u1: gm/dl rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 196 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 18.2 rs: Final st: NotStopd
t0: [05:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 18/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [05:00:00 18/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [05:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 18/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 18/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [05:00:00 18/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [05:00:00 18/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 156 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [05:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 18/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 18/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 18/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 18/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [05:00:00 18/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [05:00:00 18/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [05:00:00 18/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [05:00:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 12 vu: ml t0: [05:00:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 110 vu: ml t0: [05:00:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [05:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:42:00 18/01/2013] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 61 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 113 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [05:42:00 18/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 145 rs: Final st: NotStopd
t0: [06:48:00 18/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [06:48:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [06:48:00 18/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [06:48:00 18/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [06:48:00 18/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [06:48:00 18/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 6.9 u1: cmH2O st: NotStopd t0: [06:48:00 18/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.1 u1: L/min st: NotStopd t0: [06:48:00 18/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [06:48:00 18/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 5 u1: . st: NotStopd t0: [06:48:00 18/01/2013] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [06:48:00 18/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [06:48:00 18/01/2013] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [06:48:00 18/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [06:48:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [06:48:00 18/01/2013] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 460 u1: ml/B st: NotStopd t0: [06:48:00 18/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [06:48:00 18/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [06:48:00 18/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [05:00:00 18/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 18/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 18/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 18/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [05:00:00 18/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 18/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 18/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 18/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd
t0: [08:00:00 18/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 18/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 18/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 18/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 18/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [08:00:00 18/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 18/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 18/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 18/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 181 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [08:00:00 18/01/2013] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 18/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 18/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 18/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 18/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 18/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 18/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 18/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 18/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 18/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 18/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 18/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 18/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 18/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 18 vu: ml t0: [08:00:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 165 vu: ml t0: [08:00:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [08:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 18/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 18/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 18/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 18/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 18/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 18/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 18/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 18/01/2013] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [08:00:00 18/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [08:00:00 18/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 18/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 18/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 18/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd
t0: [08:00:00 18/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 18/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [08:00:00 18/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [08:30:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:30:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [08:30:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:30:00 18/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:30:00 18/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:30:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 225 u1: mmHg v2: 108 u2: mmHg st: NotStopd t0: [08:30:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 155 u1: mmHg st: NotStopd t0: [08:30:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:30:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:30:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 18/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:30:00 18/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:30:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:46:00 18/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [08:46:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:46:00 18/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:46:00 18/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:46:00 18/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:46:00 18/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [08:46:00 18/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [08:46:00 18/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [08:46:00 18/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:46:00 18/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 6.2 u1: cmH2O st: NotStopd t0: [08:46:00 18/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.9 u1: L/min st: NotStopd t0: [08:46:00 18/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:46:00 18/01/2013] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Not Applicable st: NotStopd t0: [08:46:00 18/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 5 u1: . st: NotStopd t0: [08:46:00 18/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:46:00 18/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:46:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:46:00 18/01/2013] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [08:46:00 18/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [08:46:00 18/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [08:46:00 18/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [09:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [09:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 163 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [09:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [09:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:30:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [09:30:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:30:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:30:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [09:30:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:30:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:30:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:30:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 18/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [09:30:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [09:30:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 9 vu: ml t0: [09:30:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [09:30:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [09:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:54:00 18/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [09:54:00 18/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [09:54:00 18/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [09:54:00 18/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [09:54:00 18/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd
t0: [10:00:00 18/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [10:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 18/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [10:00:00 18/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [10:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [10:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 190 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [10:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 125 u1: mmHg st: NotStopd t0: [10:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [10:30:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 6 vu: ml t0: [10:30:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [10:30:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [10:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [11:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 9 vu: ml t0: [12:00:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [11:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 18/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 18/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 18/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 18/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 18/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 18/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 18/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 18/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [12:00:00 18/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 18/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [12:00:00 18/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd
t0: [10:00:00 18/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 18/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 18/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 18/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 18/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 18/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 18/01/2013] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 18/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 18/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 18/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 18/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 18/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 18/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [12:00:00 18/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [12:00:00 18/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 18/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [12:00:00 18/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 18/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 18/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 18/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 18/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 18/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 18/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 18/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 18/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 18/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [12:00:00 18/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 18/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 18/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 18/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 18/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 18/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 18/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 18/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [12:25:00 18/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [12:25:00 18/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.7 rs: Final st: NotStopd
t0: [12:25:00 18/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 55.2 rs: Final st: NotStopd
t0: [13:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [13:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 164 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [13:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [13:30:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 9 vu: ml t0: [13:30:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [13:30:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [13:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:30:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [13:30:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:30:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:30:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:30:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [13:30:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 18/01/2013] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWork v1: 117 rs: Manual st: NotStopd
t0: [14:25:00 18/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [14:25:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [14:25:00 18/01/2013] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [14:25:00 18/01/2013] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [14:25:00 18/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [14:25:00 18/01/2013] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [14:25:00 18/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [14:25:00 18/01/2013] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [14:25:00 18/01/2013] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [14:25:00 18/01/2013] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 8.6 u1: cmH2O st: NotStopd t0: [14:25:00 18/01/2013] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.66 u1: L/min st: NotStopd t0: [14:25:00 18/01/2013] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [14:25:00 18/01/2013] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Not Applicable st: NotStopd t0: [14:25:00 18/01/2013] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [14:25:00 18/01/2013] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [14:25:00 18/01/2013] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [14:25:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:25:00 18/01/2013] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [14:25:00 18/01/2013] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [14:25:00 18/01/2013] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 28 u1: # st: NotStopd t0: [14:25:00 18/01/2013] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [14:25:00 18/01/2013] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [14:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [14:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 159 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [14:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [14:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [15:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 174 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [15:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [15:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 18/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [15:30:00 18/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [15:30:00 18/01/2013] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd t0: [15:30:00 18/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [15:30:00 18/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [15:30:00 18/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [15:30:00 18/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [15:30:00 18/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [15:30:00 18/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [15:30:00 18/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:30:00 18/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:30:00 18/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 18/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [15:30:00 18/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:30:00 18/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [15:30:00 18/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:30:00 18/01/2013] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [15:30:00 18/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 18/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [15:30:00 18/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [15:30:00 18/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [15:30:00 18/01/2013] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [15:30:00 18/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [15:30:00 18/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [15:30:00 18/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [15:30:00 18/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 18/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 18/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [15:30:00 18/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [15:30:00 18/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [15:30:00 18/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [15:30:00 18/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [15:30:00 18/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:30:00 18/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [15:30:00 18/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [15:30:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [15:30:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [15:30:00 18/01/2013] id: Stool Out (non-specific) el: 2 cu: CCU cg: RN vo: 200 vu: ml t0: [15:30:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [15:30:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [14:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/01/2013] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 200 ap: none
t0: [15:45:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:45:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:45:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 136 u1: BPM st: NotStopd t0: [15:45:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:45:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 223 u1: mmHg v2: 122 u2: mmHg st: NotStopd t0: [15:45:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 162 u1: mmHg st: NotStopd t0: [15:45:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:45:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:45:00 18/01/2013] id: Significant Events el: 0 cu: CCU cg: RN v1: Extubated st: NotStopd t0: [15:45:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [15:45:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:45:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 18/01/2013] tf: [20:38:00 20/01/2013] dt: 3218 id: Extubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 30 st: NotStopd t0: [15:00:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 1 u1: torr st: NotStopd t0: [15:00:00 18/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [15:00:00 18/01/2013] tf: [20:38:00 20/01/2013] dt: 3218 id: O2 Delivery Device#2 el: 0 cu: CCU cg: -1 v1: Face Tent st: NotStopd t0: [15:00:00 18/01/2013] tf: [20:38:00 20/01/2013] dt: 3218 id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 15 u1: lpm st: NotStopd t0: [15:00:00 18/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [15:00:00 18/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [15:50:00 18/01/2013] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [15:50:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 1 u1: torr st: NotStopd t0: [15:50:00 18/01/2013] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [15:50:00 18/01/2013] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 11 v2: 26 st: NotStopd t0: [15:50:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:50:00 18/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [15:50:00 18/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [16:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [16:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 178 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [16:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [16:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 18/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 18/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 18/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [16:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:25:00 18/01/2013] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.4508 u1: ml/dl st: NotStopd t0: [16:25:00 18/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [16:25:00 18/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [16:25:00 18/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [16:25:00 18/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 181 u1: mmHg rs: Final st: NotStopd t0: [16:25:00 18/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [16:25:00 18/01/2013] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [14:00:00 18/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 18/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 18/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 18/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 18/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 18/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 18/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 18/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 18/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 18/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 18/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [15:00:00 18/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 18/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [16:30:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 114 u1: BPM st: NotStopd t0: [16:30:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:30:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 170 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [16:30:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [16:30:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:30:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [17:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 167 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [17:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [17:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 18/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [17:30:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 18/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:30:00 18/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [17:30:00 18/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [17:30:00 18/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [17:30:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 111 u1: BPM st: NotStopd t0: [17:30:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:30:00 18/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [17:30:00 18/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [17:30:00 18/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:30:00 18/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:30:00 18/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:30:00 18/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:30:00 18/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [17:30:00 18/01/2013] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:30:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 151 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:30:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [17:30:00 18/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [17:30:00 18/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:30:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 18/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [17:30:00 18/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:30:00 18/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [17:30:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:30:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [17:30:00 18/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [17:30:00 18/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:30:00 18/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:30:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 18/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [17:30:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [17:30:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [17:30:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [17:30:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [23:00:00 18/01/2013] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 495 ap: none
t0: [19:00:00 18/01/2013] id: Less Restrict Meas. el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: CVP el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Education Barrier el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Education Handout el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Education Learner el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Education Method el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Education Readiness el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Education Response el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Education Topic #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: LLE Temp/Color el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: NBP el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: NBP Mean el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Nursing Consultation el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: RLE Temp/Color el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Spiritual Support el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Temperature C el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 18/01/2013] id: Temperature F (calc) el: 0 cu: CCU cg: -1 st: D/C'd
t0: [19:00:00 18/01/2013] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [19:00:00 18/01/2013] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CCU cg: -1 ai: 110 vo: 0 st: D/C'd
t0: [20:00:00 18/01/2013] id: Range of Motion el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 18/01/2013] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 18/01/2013] id: Position Change el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 18/01/2013] id: Reason For Restraint el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 18/01/2013] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 18/01/2013] id: Restraint Type el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 18/01/2013] id: Restraints Evaluated el: 0 cu: CCU cg: -1 st: D/C'd
t0: [20:00:00 18/01/2013] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 18/01/2013] id: Criticare HN Tube Feeding el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 18/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 18/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 18/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [20:00:00 18/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 18/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 18/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 18/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 18/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 18/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 18/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 18/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 18/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 18/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 18/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 18/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 18/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 18/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 18/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 18/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 18/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 169 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [20:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 18/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 18/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 18/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 18/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 18/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 18/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 18/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 18/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 25 vu: ml t0: [20:00:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 17.5 vu: ml t0: [20:00:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 135 vu: ml
t0: [20:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 18/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 18/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [23:00:00 18/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 18/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 18/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [23:00:00 18/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [23:00:00 18/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 18/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [23:00:00 18/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 18/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 18/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 18/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 18/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 21 vu: ml t0: [23:00:00 18/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [23:00:00 18/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 18/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -89 cv: -89 ap: none t0: [23:00:00 18/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 51 cv: 593.5 ap: none t0: [23:00:00 18/01/2013] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 51 cv: 1088.5 ap: none t0: [23:00:00 18/01/2013] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 140 cv: 1225 ap: none t0: [23:00:00 18/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -89 cv: -336.5 ap: none t0: [23:00:00 18/01/2013] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 140 cv: 1425 ap: none t0: [23:00:00 19/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -90 cv: 2732 ap: carryForward
t0: [02:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 170 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [02:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [02:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 19/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [02:00:00 19/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [02:00:00 19/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [02:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 21 vu: ml t0: [02:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 165 vu: ml
t0: [02:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:14:00 19/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [05:14:00 19/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [05:14:00 19/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 19/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 19/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [05:14:00 19/01/2013] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.19 rs: Final st: NotStopd
t0: [05:18:00 19/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35.3 u1: % rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 263 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.86 u1: /mic l rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 17.6 rs: Final st: NotStopd
t0: [05:00:00 19/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 19/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [05:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 19/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [05:00:00 19/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [05:00:00 19/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [05:00:00 19/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 19/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [05:00:00 19/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [05:00:00 19/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [05:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 19/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 19/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [05:00:00 19/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 19/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 19/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 19/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [05:00:00 19/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [05:00:00 19/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 19/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 19/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [05:00:00 19/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [05:00:00 19/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [05:00:00 19/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [05:00:00 19/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 19/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 19/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [05:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 19/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 19/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 19/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 19/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 19/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 19/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [05:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 19/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 19/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 19/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 19/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [05:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [05:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 21 vu: ml t0: [05:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [05:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:18:00 19/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 12.9 rs: Final st: NotStopd
t0: [05:18:00 19/01/2013] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 64 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 115 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 98 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [05:18:00 19/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 148 rs: Final st: NotStopd
t0: [05:18:00 19/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 56.8 rs: Final st: NotStopd
t0: [08:00:00 19/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 19/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 19/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 19/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 19/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [08:00:00 19/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 19/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 19/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 19/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [08:00:00 19/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 19/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [08:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 19/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 19/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 19/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 19/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 19/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 19/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 19/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 19/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 19/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 19/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 19/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 19/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 19/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 170 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [08:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [08:00:00 19/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 19/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 19/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 19/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 19/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 19/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 19/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 19/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 19/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 19/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [08:00:00 19/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 21 vu: ml t0: [08:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [08:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [10:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 180 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [10:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [10:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [10:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [10:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:42:00 19/01/2013] id: CaO2 el: 0 cu: CCU cg: 140 v1: 15.8456 u1: ml/dl st: NotStopd t0: [10:42:00 19/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [10:42:00 19/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [10:42:00 19/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [10:42:00 19/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [10:42:00 19/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [10:42:00 19/01/2013] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [10:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 169 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [12:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [12:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:18:00 19/01/2013] id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 11.4 rs: Final st: NotStopd
t0: [08:00:00 19/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [11:00:00 19/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 19/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 19/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 19/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 19/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 19/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 19/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [12:00:00 19/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 19/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 19/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 19/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 19/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 19/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 19/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 19/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 19/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 19/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 19/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 19/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 19/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 19/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 19/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 19/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 19/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [12:00:00 19/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [12:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [12:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [14:00:00 19/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [14:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 19/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [14:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 19/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [14:00:00 19/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [14:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 161 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [14:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 19/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 19/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [14:00:00 19/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [14:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 19/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Withdrawn st: NotStopd t0: [15:00:00 19/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 19/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 19/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 19/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 19/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [15:00:00 19/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 19/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 19/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 19/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [15:00:00 19/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 19/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 19/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 19/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [14:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [14:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [14:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 19/01/2013] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 250 vu: ml t0: [14:00:00 19/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml
t0: [23:00:00 19/01/2013] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 250 ap: none
t0: [16:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 126 u1: BPM st: NotStopd t0: [16:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 166 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [16:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [16:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [18:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 19/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 19/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [18:00:00 19/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 19/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 19/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [18:00:00 19/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [18:00:00 19/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [18:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 19/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [18:00:00 19/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 19/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 19/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 19/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 19/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 19/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 19/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Dentures st: NotStopd t0: [18:00:00 19/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 19/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [18:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 175 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [18:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [18:00:00 19/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 19/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 19/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 19/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [18:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 19/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 19/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 19/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [18:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 19/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [18:00:00 19/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [18:00:00 19/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [18:00:00 19/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 19/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 19/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [18:00:00 19/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [18:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 40 vu: ml t0: [18:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 28 vu: ml t0: [18:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 550 vu: ml
t0: [16:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 115 u1: BPM st: NotStopd t0: [20:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 19/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 19/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 19/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 19/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [20:00:00 19/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 19/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 19/01/2013] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [19:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [20:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [21:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml
t0: [20:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml
t0: [20:00:00 19/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 19/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 19/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 19/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 19/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 19/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 19/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 19/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 19/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 19/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 19/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 19/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 19/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 19/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [20:00:00 19/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 19/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 19/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 19/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 19/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 19/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 19/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 19/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 19/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [20:00:00 19/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 19/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 19/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 19/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 19/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 19/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 19/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 19/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 19/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 19/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 19/01/2013] tf: [19:00:00 20/01/2013] dt: 1380 id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 19/01/2013] tf: [19:00:00 20/01/2013] dt: 1380 id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/01/2013] tf: [20:38:00 20/01/2013] dt: 1478 id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 19/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 19/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 19/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/01/2013] tf: [19:00:00 20/01/2013] dt: 1380 id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd
t0: [20:00:00 19/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd
t0: [21:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 119 u1: BPM st: NotStopd t0: [21:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 169 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [21:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [21:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [21:00:00 19/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 19/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 19/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 19/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [22:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [22:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [22:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [22:00:00 19/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml
t0: [23:00:00 19/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 19/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 19/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [23:00:00 19/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 19/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:00:00 19/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [23:00:00 19/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 19/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 19/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 19/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 19/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml
t0: [23:00:00 19/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 17 cv: 708 ap: none t0: [23:00:00 19/01/2013] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 17 cv: 958 ap: none
t0: [00:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [00:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 20/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 20/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 20/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 20/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml
t0: [00:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 20/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 20/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 20/01/2013] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [23:00:00 19/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [00:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [23:00:00 19/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 19/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -83 cv: -83 ap: none t0: [23:00:00 19/01/2013] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 100 cv: 1715 ap: none t0: [23:00:00 19/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -83 cv: -757 ap: none t0: [23:00:00 19/01/2013] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 100 cv: 1715 ap: none t0: [23:00:00 20/01/2013] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 20/01/2013] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 920 ap: none t0: [23:00:00 20/01/2013] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 1120 ap: none
t0: [00:00:00 20/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 20/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 20/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 20/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 20/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 20/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [00:00:00 20/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 20/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 20/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 20/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 20/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 20/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 20/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 20/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [00:00:00 20/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 20/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 20/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 20/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [00:00:00 20/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 20/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 20/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 20/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [00:00:00 20/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [00:00:00 20/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 20/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 20/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 20/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 20/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 20/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [00:00:00 20/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [00:00:00 20/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 20/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 20/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [00:00:00 20/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [01:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 121 u1: BPM st: NotStopd t0: [01:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [01:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml
t0: [01:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [02:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [02:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [02:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [02:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 20/01/2013] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml
t0: [03:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [03:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [03:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 20/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [03:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [03:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [00:00:00 20/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [00:00:00 20/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:00:00 20/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 20/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 20/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [04:00:00 20/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 20/01/2013] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 20/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 20/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 20/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml t0: [04:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [04:00:00 20/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 20/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 20/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 20/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 20/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 20/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [04:00:00 20/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 20/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 20/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 20/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 20/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 20/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 20/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 20/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 20/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 20/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 20/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 20/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 20/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 20/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 20/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [04:00:00 20/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 20/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 20/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 20/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 20/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [04:00:00 20/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [04:00:00 20/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 20/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 20/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 20/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 20/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 20/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 10 u1: number st: NotStopd t0: [04:00:00 20/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [04:00:00 20/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 20/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [04:00:00 20/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd
t0: [05:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [05:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 150 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [05:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml
t0: [05:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:12:00 20/01/2013] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [05:12:00 20/01/2013] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [05:12:00 20/01/2013] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [05:12:00 20/01/2013] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [05:12:00 20/01/2013] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [05:12:00 20/01/2013] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [06:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [06:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 156 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [06:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 7 vu: ml
t0: [04:45:00 20/01/2013] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35.9 u1: % rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.9 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 333 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.88 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 20.3 rs: Final st: NotStopd t0: [05:12:00 20/01/2013] id: CaO2 el: 0 cu: CCU cg: 140 v1: 15.996 u1: ml/dl st: NotStopd
t0: [04:45:00 20/01/2013] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.6 rs: Final st: NotStopd
t0: [04:45:00 20/01/2013] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 78.2 rs: Final st: NotStopd
t0: [05:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [06:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml
t0: [06:00:00 20/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 20/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [06:00:00 20/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [06:00:00 20/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd
t0: [06:00:00 20/01/2013] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd
t0: [06:00:00 20/01/2013] id: Stool Out (non-specific) el: 2 cu: CCU cg: RN vo: 200 vu: ml
t0: [23:00:00 20/01/2013] dt: 24 id: Stool Out Total el: 1 cu: -1 cg: RN cv: 200 ap: none
t0: [04:45:00 20/01/2013] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 282 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 43 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 121 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 65 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 115 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 2.8 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 97 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 149 rs: Final st: NotStopd t0: [04:45:00 20/01/2013] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd
t0: [08:00:00 20/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 20/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 20/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 20/01/2013] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 20/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 20/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 20/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 20/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 20/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [08:00:00 20/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 20/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 90 degrees st: NotStopd t0: [08:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 130 u1: BPM st: NotStopd t0: [08:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [08:00:00 20/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 20/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bed as Chair st: NotStopd t0: [08:00:00 20/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [08:00:00 20/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 20/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 20/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 20/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 20/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 20/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 20/01/2013] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 20/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 189 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [08:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 133 u1: mmHg st: NotStopd t0: [08:00:00 20/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 20/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 20/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 20/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 20/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [08:00:00 20/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 20/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 20/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 20/01/2013] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Tenacious st: NotStopd t0: [08:00:00 20/01/2013] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [08:00:00 20/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [08:00:00 20/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 20/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 20/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 20/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 20/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 20/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [08:00:00 20/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 2 Incomp sounds st: NotStopd t0: [08:00:00 20/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 20/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 20/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 20/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 20/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 20/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 20/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 20/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 20/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [08:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [08:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
io: Criticare HN Tube Feeding el: 2 cu: CCU cg: RN ra: 10 ru: ml/hr
id: Criticare HN el: 2 cu: CCU cg: RN io: Criticare HN Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [04:45:00 20/01/2013] id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 9.2 rs: Final st: NotStopd
t0: [10:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [10:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [10:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [10:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [10:00:00 20/01/2013] id: Criticare HN Tube Feeding el: 2 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [10:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [10:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 20/01/2013] tf: [20:38:00 20/01/2013] dt: 638 id: Pain Level el: 0 cu: CCU cg: RN v1: 5-Moderate st: NotStopd t0: [10:00:00 20/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/01/2013] tf: [20:38:00 20/01/2013] dt: 638 id: Pain Cause el: 0 cu: CCU cg: RN v1: Injury st: NotStopd t0: [10:00:00 20/01/2013] tf: [20:38:00 20/01/2013] dt: 638 id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 5-Moderate st: NotStopd t0: [10:00:00 20/01/2013] tf: [20:38:00 20/01/2013] dt: 638 id: Pain Management el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 20/01/2013] id: Pain Management el: 1 cu: CCU cg: RN v1: PO Med st: NotStopd t0: [12:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 20/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 20/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 20/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 20/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 20/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [12:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 20/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 20/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [12:00:00 20/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [12:00:00 20/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/01/2013] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 300 vu: ml t0: [12:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [12:00:00 20/01/2013] tf: [20:38:00 20/01/2013] dt: 518 id: Criticare HN Tube Feeding el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [12:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 20/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [14:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [14:00:00 20/01/2013] id: Criticare HN Tube Feeding el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [14:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 20/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 20/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 20/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 20/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 20/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 20/01/2013] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Negative v2: 5 st: NotStopd t0: [16:00:00 20/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 20/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 20/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [16:00:00 20/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 20/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [16:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [16:00:00 20/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 20/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 20/01/2013] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Poor st: NotStopd t0: [16:00:00 20/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 20/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 20/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 20/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [16:00:00 20/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [16:00:00 20/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Dentures st: NotStopd t0: [16:00:00 20/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 20/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: RN v1: 152 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 20/01/2013] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [16:00:00 20/01/2013] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 20/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 20/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 20/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 20/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 20/01/2013] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 20/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [16:00:00 20/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 20/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 20/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 20/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [16:00:00 20/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [16:00:00 20/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 20/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 20/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 20/01/2013] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 20/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 20/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [16:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [16:00:00 20/01/2013] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 300 vu: ml t0: [16:00:00 20/01/2013] id: Criticare HN Tube Feeding el: 2 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [16:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 20/01/2013] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: INV Line#2 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: INV Line#2 Site Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: Arterial BP el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 20/01/2013] id: Arterial BP Mean el: 0 cu: CCU cg: -1 st: D/C'd
t0: [19:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [16:00:00 20/01/2013] tf: [19:00:00 20/01/2013] dt: 180 id: INV Line#2 D/C Date el: 0 cu: CCU cg: RN v1: 12 v2: 2 st: NotStopd t0: [20:00:00 20/01/2013] id: INV#1Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 20/01/2013] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 20/01/2013] id: INV Line#1 Site Date el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 20/01/2013] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 20/01/2013] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 11 v2: 25 st: NotStopd t0: [20:00:00 20/01/2013] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/01/2013] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 20/01/2013] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd
t0: [20:00:00 20/01/2013] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 20/01/2013] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/01/2013] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 20/01/2013] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 20/01/2013] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 20/01/2013] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [20:00:00 20/01/2013] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 20/01/2013] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 20/01/2013] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 20/01/2013] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 20/01/2013] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 20/01/2013] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 20/01/2013] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 20/01/2013] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/01/2013] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 20/01/2013] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 20/01/2013] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 20/01/2013] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/01/2013] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 20/01/2013] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 11 v2: 22 st: NotStopd t0: [20:00:00 20/01/2013] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 20/01/2013] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 20/01/2013] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 20/01/2013] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 20/01/2013] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 20/01/2013] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 20/01/2013] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 20/01/2013] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 20/01/2013] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/01/2013] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 20/01/2013] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 20/01/2013] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/01/2013] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 20/01/2013] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/01/2013] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [20:00:00 20/01/2013] id: Stool Management el: 0 cu: CCU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 20/01/2013] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 20/01/2013] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/01/2013] id: Verbal Response el: 0 cu: CCU cg: RN v1: 2 Incomp sounds st: NotStopd t0: [20:00:00 20/01/2013] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [18:00:00 20/01/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [18:00:00 20/01/2013] id: Criticare HN Tube Feeding el: 2 cu: CCU cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 20/01/2013] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CCU cg: RN ai: 154 vo: 14 vu: ml t0: [20:00:00 20/01/2013] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 250 vu: ml t0: [20:00:00 20/01/2013] id: Criticare HN Tube Feeding el: 2 cu: CCU cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 20/01/2013] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [23:00:00 20/01/2013] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 20/01/2013] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 487 ap: none t0: [23:00:00 20/01/2013] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 1517 ap: none t0: [23:00:00 20/01/2013] dt: 24 id: PO/Gastric In Total el: 1 cu: -1 cg: RN cv: 850 ap: none t0: [23:00:00 20/01/2013] dt: 24 id: Tube Feeds In Total el: 1 cu: -1 cg: RN cv: 180 ap: none t0: [23:00:00 20/01/2013] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: 397 ap: none t0: [23:00:00 20/01/2013] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: 2982 ap: carryForward
t0: [20:00:00 20/01/2013] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 20/01/2013] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 20/01/2013] id: O2 Delivery Device#2 el: 0 cu: CCU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 20/01/2013] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 20/01/2013] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 20/01/2013] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd
t0: [20:00:00 20/01/2013] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/01/2013] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 20/01/2013] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 20/01/2013] id: Heart Rate el: 0 cu: CCU cg: RN v1: 107 u1: BPM st: NotStopd t0: [20:00:00 20/01/2013] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 20/01/2013] tf: [20:38:00 20/01/2013] dt: 38 id: NBP el: 0 cu: CCU cg: RN v1: 155 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 20/01/2013] tf: [20:38:00 20/01/2013] dt: 38 id: NBP Mean el: 0 cu: CCU cg: RN v1: 85.6667 u1: mmHg st: NotStopd t0: [20:00:00 20/01/2013] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 20/01/2013] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 20/01/2013] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 20/01/2013] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 20/01/2013] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 20/01/2013] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/01/2013] id: Heparin el: 2 cu: CCU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
dd: 2761 ds: 2 ld: HYPOSMOLALITY dd: 2765 ds: 1 ld: HYPOVOLEMIA dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 41400 ds: 5 ld: CORNARY ATHERO-VESL NOS dd: 5589 ds: 3 ld: NONINF GASTROENTERIT NEC dd: V433 ds: 6 ld: HEART VALVE REPLAC NEC dd: V4581 ds: 4 ld: AORTOCORONARY BYPASS
dd: 1977 ds: 4 ld: SECOND MALIG NEO LIVER dd: 1983 ds: 3 ld: SEC MAL NEO BRAIN/SPINE dd: 78079 ds: 1 ld: OTHER MALAISE & FATIGUE dd: 7845 ds: 2 ld: SPEECH DISTURBANCE NEC
dd: 1629 ds: 3 ld: MAL NEO BRONCH/LUNG NOS dd: 1977 ds: 2 ld: SECOND MALIG NEO LIVER dd: 1983 ds: 1 ld: SEC MAL NEO BRAIN/SPINE dd: 29410 ds: 8 ld: DEMENTIA W/O BEHAV DISTU dd: 3310 ds: 7 ld: ALZHEIMER'S DISEASE dd: 34290 ds: 4 ld: UNSPEC HEMIPLEGIS UNSPEC dd: 4019 ds: 5 ld: HYPERTENSION NOS dd: 41401 ds: 6 ld: CORON ATHEROSCLER NATIVE dd: V1079 ds: 9 ld: HX-LYMPHATIC MALIGN NEC