This log is also available as text (s08718.txt) and as a (binary) annotation file (s08718.log).
Generated: Monday, 07-Jun-2010 13:20:25 EDT
(All dates below are surrogates.)
t0: [14:15:02 27/03/2015] tf: [17:36:59 29/03/2015] id: a40717 [view]
t0: [14:13:59 27/03/2015] tf: [17:34:59 29/03/2015] id: a40717n [view]
t0: [17:38:29 27/03/2015] tf: [16:43:31 03/04/2015] id: a41200 [view]
t0: [17:36:59 27/03/2015] tf: [16:41:59 03/04/2015] id: a41200n [view]
dd: 0389 ds: 7 ld: SEPTICEMIA NOS dd: 2554 ds: 8 ld: CORTICOADRENAL INSUFFIC dd: 2859 ds: 9 ld: ANEMIA NOS dd: 42731 ds: 4 ld: ATRIAL FIBRILLATION dd: 486 ds: 3 ld: PNEUMONIA, ORGANISM NOS dd: 4928 ds: 5 ld: EMPHYSEMA NEC dd: 5121 ds: 6 ld: IATROGENIC PNEUMOTHORAX dd: 5185 ds: 2 ld: POST TRAUM PULM INSUFFIC dd: 51881 ds: 1 ld: RESPIRATORY FAILURE
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [14:38:00 16/04/2015] dt: 28802 cu: MICU-A di: No Disch Status
t0: [14:55:00 27/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [14:55:00 27/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [14:55:00 27/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [14:55:00 27/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [14:55:00 27/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [14:55:00 27/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [14:55:00 27/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 120 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [15:00:00 27/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [15:00:00 27/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [15:00:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 1 u1: torr st: NotStopd t0: [15:00:00 27/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RT v1: 1:1.9 st: NotStopd t0: [15:00:00 27/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [15:00:00 27/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [15:00:00 27/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [15:00:00 27/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [15:00:00 27/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [15:00:00 27/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 15.3 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 11.5 u1: L/min st: NotStopd t0: [15:00:00 27/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [15:00:00 27/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 28 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [15:00:00 27/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 20 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 20 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1.5 u1: cmH2O st: NotStopd t0: [15:00:00 27/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 580 u1: ml/B st: NotStopd t0: [15:00:00 27/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 27/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [15:00:00 27/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [15:00:00 27/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [15:00:00 27/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 27/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 27/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [15:00:00 27/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [15:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [15:00:00 27/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 27/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [15:00:00 27/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:00:00 27/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [15:00:00 27/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [15:00:00 27/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 18 st: NotStopd t0: [15:00:00 27/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [15:00:00 27/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 27/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 27/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [15:00:00 27/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 27/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [15:00:00 27/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [15:00:00 27/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 27/03/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 27/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [15:00:00 27/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 27/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 27/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:00:00 27/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:00:00 27/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:00:00 27/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 27/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 27/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 27/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 27/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 27/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 27/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 96 u1: % st: NotStopd t0: [15:00:00 27/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [15:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [15:00:00 27/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [15:00:00 27/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [15:00:00 27/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [15:00:00 27/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 27/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 27/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 27/03/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [15:00:00 27/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Anxious st: NotStopd t0: [15:00:00 27/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [15:00:00 27/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [15:00:00 27/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [15:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [15:00:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28778 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [15:00:00 27/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 27/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [15:00:00 27/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [16:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [16:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [16:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [16:00:00 27/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [16:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/03/2015] tf: [18:00:00 12/04/2015] dt: 23220 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [16:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml
t0: [15:00:00 27/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: Bloody v2: Thin st: NotStopd t0: [15:00:00 27/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Moderate st: NotStopd t0: [16:30:00 27/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 45.8333 u1: ml/cmH st: NotStopd t0: [16:30:00 27/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [16:30:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.7 u1: torr st: NotStopd t0: [16:30:00 27/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [16:30:00 27/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [16:30:00 27/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [16:30:00 27/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [16:30:00 27/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [16:30:00 27/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 13.4 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.5 u1: L/min st: NotStopd t0: [16:30:00 27/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [16:30:00 27/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 22 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [16:30:00 27/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [16:30:00 27/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 98 u1: % st: NotStopd t0: [16:30:00 27/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 570 u1: ml/B st: NotStopd t0: [16:30:00 27/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [16:30:00 27/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [16:30:00 27/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [16:30:00 27/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [16:31:00 27/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:31:00 27/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:31:00 27/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:30:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:30:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [16:30:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [16:30:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:30:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 27/03/2015] tf: [10:00:00 29/03/2015] dt: 2490 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [16:30:00 27/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:30:00 27/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:30:00 27/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 18 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:30:00 27/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [16:30:00 27/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:30:00 27/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [16:21:00 27/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 44.6 u1: % rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.9 u1: gm/dl rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 466 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.78 u1: /mic l rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd
id: Fentanyl el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions am: 5000 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [16:21:00 27/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 126 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [17:30:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:30:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [17:30:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:30:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:30:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [17:30:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:30:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:30:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [17:30:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 95 vu: ml
t0: [17:30:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28628 id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:24:00 27/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [17:24:00 27/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd
t0: [16:21:00 27/03/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [16:21:00 27/03/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 27.6 rs: Final st: NotStopd
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ra: 10 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [15:00:00 27/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 27/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 27/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Bilious st: NotStopd
t0: [15:00:00 27/03/2015] tf: [22:00:00 27/03/2015] dt: 420 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 3 vu: ml t0: [18:00:00 27/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 27/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml nb: 1
t0: [16:21:00 27/03/2015] id: Digoxin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 1.1 u1: ng rs: Final st: NotStopd
t0: [18:38:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd
t0: [18:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [18:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 36 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [18:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml
t0: [18:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 27/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 36.4238 u1: ml/cmH st: NotStopd t0: [20:00:00 27/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [20:00:00 27/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [20:00:00 27/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.9 st: NotStopd t0: [20:00:00 27/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 27/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 27/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [20:00:00 27/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 27/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [20:00:00 27/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.5 u1: L/min st: NotStopd t0: [20:00:00 27/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [20:00:00 27/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25.1 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 16.1 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 27/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [20:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [20:00:00 27/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [20:00:00 27/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 27/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [20:00:00 27/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 27/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 27/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [20:00:00 27/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 27/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 27/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 27/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 27/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [20:00:00 27/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 27/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 27/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 27/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 27/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 27/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 4.83208 u1: kg x m st: NotStopd t0: [20:00:00 27/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 77.792 u1: g * m st: NotStopd t0: [20:00:00 27/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 27/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 27/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: PVR el: 0 cu: MICU-A cg: RN v1: 148.607 u1: ... st: NotStopd t0: [20:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [20:00:00 27/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 27/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [20:00:00 27/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.1964 u1: kg * m st: NotStopd t0: [20:00:00 27/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 35.36 u1: g * m st: NotStopd t0: [20:00:00 27/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 27/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 27/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 27/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 27/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 582.043 u1: ... st: NotStopd t0: [20:00:00 27/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [20:00:00 27/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 27/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [20:00:00 27/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 27/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 104.194 u1: ml st: NotStopd t0: [20:00:00 27/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [20:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [20:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [20:00:00 27/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 27/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 27/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 27/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.46 u1: L/min st: NotStopd
t0: [20:00:00 27/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [20:00:00 27/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [20:00:00 27/03/2015] tf: [17:00:00 28/03/2015] dt: 1260 id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [20:00:00 27/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 27/03/2015] tf: [02:00:00 07/04/2015] dt: 14760 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [20:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 27/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 65 cv: 65 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 460 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 65 cv: 460 ap: none
t0: [21:35:00 27/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [21:35:00 27/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [21:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [21:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 24 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [21:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [21:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [21:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [22:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [22:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [22:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [22:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [22:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [22:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [22:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [22:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [22:00:00 27/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [22:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [22:00:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28358 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [22:00:00 27/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 27/03/2015] tf: [14:38:00 16/04/2015] dt: 28358 id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml nb: 1
t0: [22:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 27/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 66 cv: 66 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 131 cv: 2527 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 131 cv: 2557 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 30 ap: none t0: [23:00:00 27/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 66 cv: 2097 ap: none t0: [23:00:00 27/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 66 cv: 2097 ap: none
t0: [22:35:00 27/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [22:35:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd
t0: [23:00:00 28/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 108 cv: 5917.75 ap: none
t0: [00:00:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 50.9259 u1: ml/cmH st: NotStopd t0: [00:00:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [00:00:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 28/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 28/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.6 st: NotStopd t0: [00:00:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [00:00:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [00:00:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.2 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.9 u1: L/min st: NotStopd t0: [00:00:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20.8 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 18.4 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [00:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [00:00:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [00:00:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [00:00:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [23:00:00 27/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 27/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 27/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 24 u1: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 38 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 27/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 27/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [23:00:00 27/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 27/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 27/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [23:00:00 27/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [23:00:00 27/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [23:00:00 27/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 28/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [00:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 5.21397 u1: kg x m st: NotStopd t0: [00:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 84.4016 u1: g * m st: NotStopd t0: [00:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: PVR el: 0 cu: MICU-A cg: RN v1: 133.132 u1: ... st: NotStopd t0: [00:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [00:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [00:00:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.2474 u1: kg * m st: NotStopd t0: [00:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 36.38 u1: g * m st: NotStopd t0: [00:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 593.041 u1: ... st: NotStopd t0: [00:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 106.613 u1: ml st: NotStopd t0: [00:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [00:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [00:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [00:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [00:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 28/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 28/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.61 u1: L/min st: NotStopd t0: [00:30:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:30:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:30:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 41 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:30:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:30:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [00:30:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:30:00 28/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [00:30:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [00:30:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [00:30:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:30:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [00:30:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [00:30:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [00:30:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [01:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [22:00:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [23:00:00 27/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [23:00:00 27/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 27/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [23:00:00 27/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 28/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [00:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [00:00:00 28/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [00:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:30:00 28/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml
t0: [23:00:00 27/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 5.75334 u1: kg x m st: NotStopd t0: [01:00:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 80.0768 u1: g * m st: NotStopd t0: [01:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 28 u1: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 43 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [01:00:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.51709 u1: kg * m st: NotStopd t0: [01:00:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 35.0336 u1: g * m st: NotStopd t0: [01:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 665.658 u1: ... st: NotStopd t0: [01:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 91.8056 u1: ml st: NotStopd t0: [01:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [01:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [01:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [01:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.61 u1: L/min st: NotStopd
t0: [01:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [02:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 25 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [02:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [02:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [02:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [02:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [02:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [02:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [02:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml
t0: [02:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 26 u1: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 72.6 u1: kg st: NotStopd t0: [03:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [03:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [03:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.3 u1: Deg. C st: NotStopd t0: [03:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.34 u1: Deg. F st: NotStopd t0: [03:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: RN v1: 6.0996 u1: kg x m st: NotStopd t0: [04:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: RN v1: 91.0248 u1: g * m st: NotStopd t0: [04:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 28 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: PVR el: 0 cu: MICU-A cg: RN v1: 172.308 u1: ... st: NotStopd t0: [04:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 28/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [04:00:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: RN v1: 2.4752 u1: kg * m st: NotStopd t0: [04:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: RN v1: 36.9376 u1: g * m st: NotStopd t0: [04:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: RN v1: 726.154 u1: ... st: NotStopd t0: [04:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: RN v1: 97.0149 u1: ml st: NotStopd t0: [04:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [04:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [04:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [04:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 28/03/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [02:00:00 28/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 28/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [04:00:00 28/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [04:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml
t0: [03:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:40:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [04:40:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [04:40:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [04:40:00 28/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:40:00 28/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.9 st: NotStopd t0: [04:40:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:40:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:40:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 u1: Deg. C st: NotStopd t0: [04:40:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:40:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [04:40:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.3 u1: L/min st: NotStopd t0: [04:40:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:40:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.5 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 20.2 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:40:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 4 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:40:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1.5 u1: cmH2O st: NotStopd t0: [04:40:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [04:40:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 690 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [04:40:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [04:40:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:40:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:40:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [06:00:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [06:00:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd
id: Ativan el: 100 cu: MICU-A cg: RN io: D5W 400.0ml + 40mghr Ativan IV Infusions am: 40 du: mghr rt: IV Drip
io: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ra: 5 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 400.0ml + 40mghr Ativan IV Infusions vo: 400 du: ml rt: Intravenous Push
t0: [06:08:00 28/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [06:08:00 28/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [05:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 30 u1: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 46 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [05:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 28/03/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [05:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [05:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [05:00:00 28/03/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [06:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: RN v1: 30 u1: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: RN v1: 45 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 198 u1: mmHg st: NotStopd t0: [06:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [06:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Blood st: NotStopd t0: [06:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [06:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [06:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 240 vu: ml t0: [06:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [06:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [06:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml
t0: [05:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27878 id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 28/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 40 u1: % rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.1 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 387 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.24 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [06:00:00 28/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [06:00:00 28/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [07:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [07:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 45 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [07:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [07:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [07:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.1 u1: Deg. C st: NotStopd t0: [07:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 96.98 u1: Deg. F st: NotStopd t0: [07:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [07:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27818 id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml t0: [07:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [07:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 28/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [08:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 46 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [08:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [08:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [08:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 28/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 28/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [08:00:00 28/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [08:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [08:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [08:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [08:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [08:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:10:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 34.375 u1: ml/cmH st: NotStopd t0: [08:10:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [08:10:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [08:10:00 28/03/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [08:10:00 28/03/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RT v1: 1.9 st: NotStopd t0: [08:10:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [08:10:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [08:10:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [08:10:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [08:10:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [08:10:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [08:10:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [08:10:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 16.1 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 13.2 u1: L/min st: NotStopd t0: [08:10:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [08:10:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 18 u1: cmH2O st: NotStopd t0: [08:10:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [08:10:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 1 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 23 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [08:10:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 93 u1: % st: NotStopd t0: [08:10:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [08:10:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [08:10:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [08:10:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [08:10:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [08:10:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [08:15:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:15:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:15:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:15:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:15:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [08:15:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:15:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 41 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [08:15:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:15:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [08:15:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:15:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:15:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [08:15:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.4 u1: Deg. C st: NotStopd t0: [08:15:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.52 u1: Deg. F st: NotStopd t0: [08:15:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:30:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:30:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:30:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:30:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:30:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [08:30:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:30:00 28/03/2015] id: LCW el: 0 cu: MICU-A cg: -1 v1: 6.56064 u1: kg x m st: NotStopd t0: [08:30:00 28/03/2015] id: LVSW el: 0 cu: MICU-A cg: -1 v1: 93.8536 u1: g * m st: NotStopd t0: [08:30:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: PVR el: 0 cu: MICU-A cg: -1 v1: 144.444 u1: ... st: NotStopd t0: [08:30:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [08:30:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:30:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [08:30:00 28/03/2015] id: RCW el: 0 cu: MICU-A cg: -1 v1: 2.35008 u1: kg * m st: NotStopd t0: [08:30:00 28/03/2015] id: RVSW el: 0 cu: MICU-A cg: -1 v1: 33.6192 u1: g * m st: NotStopd t0: [08:30:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:30:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: -1 v1: 666.667 u1: ... st: NotStopd t0: [08:30:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [08:30:00 28/03/2015] id: Stroke Volume el: 0 cu: MICU-A cg: -1 v1: 102.857 u1: ml st: NotStopd t0: [08:30:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [08:30:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.4 u1: Deg. C st: NotStopd t0: [08:30:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.52 u1: Deg. F st: NotStopd t0: [08:30:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:30:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: -1 v1: 7.2 u1: L/min st: NotStopd
t0: [08:15:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:15:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:30:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [09:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [09:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [09:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 35 u1: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [09:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [09:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [09:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.4 u1: Deg. C st: NotStopd t0: [09:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.52 u1: Deg. F st: NotStopd t0: [09:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [09:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [09:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [09:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [09:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [09:15:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [10:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [10:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:00:00 28/03/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [10:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [10:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [10:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [10:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [10:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8.75 vu: ml t0: [10:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [10:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [10:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [10:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Runs Vtach st: NotStopd t0: [11:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [11:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 v1: 43 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [11:00:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Line Placement st: NotStopd t0: [11:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Blood st: NotStopd t0: [11:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [11:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [11:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [11:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml t0: [11:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [11:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 28/03/2015] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [10:00:00 28/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd
t0: [12:00:00 28/03/2015] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: Temperature C el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 28/03/2015] id: Temperature F (calc) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [12:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [12:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [12:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [12:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [12:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 28/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 28/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.3 u1: Deg. F st: NotStopd
t0: [12:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [12:00:00 28/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 28/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 28/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [12:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 28/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [12:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [12:20:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 36.6667 u1: ml/cmH st: NotStopd t0: [12:20:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 24cm v2: Lip st: NotStopd t0: [12:20:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [12:20:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [12:20:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [12:20:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [12:20:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [12:20:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [12:20:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [12:20:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [12:20:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 15.9 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.2 u1: L/min st: NotStopd t0: [12:20:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [12:20:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 25 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 18 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [12:20:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [12:20:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1.5 u1: cmH2O st: NotStopd t0: [12:20:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 98 u1: % st: NotStopd t0: [12:20:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [12:20:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [12:20:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [12:20:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [12:20:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [12:20:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [13:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [13:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [13:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [13:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [13:00:00 28/03/2015] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml t0: [13:00:00 28/03/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [13:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:35:00 28/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [13:35:00 28/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd
t0: [13:30:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 24cm v2: Lip st: NotStopd t0: [13:30:00 28/03/2015] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [13:30:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [13:30:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:30:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [13:30:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [13:30:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [13:30:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [13:30:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [13:30:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [14:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [14:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [14:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [14:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [14:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [14:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27398 id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 28/03/2015] tf: [14:38:00 16/04/2015] dt: 27398 id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [14:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd
t0: [14:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [15:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [15:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [15:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [15:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [15:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [15:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [15:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [15:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:31:00 28/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [15:31:00 28/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [15:31:00 28/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [15:31:00 28/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [15:31:00 28/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [15:31:00 28/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [15:31:00 28/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [12:00:00 28/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 28/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [16:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [16:00:00 28/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 28/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 28/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 28/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 28/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 28/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 28/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [16:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 28/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [16:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 28/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 28/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 28/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 28/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [16:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [16:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [16:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [17:00:00 28/03/2015] id: Cardiac Index el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: PAP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: PAP S/D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: PCWP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: SVR el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 28/03/2015] id: C.O.(thermodilution) el: 0 cu: MICU-A cg: -1 st: D/C'd
io: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ra: 10 ru: ml/hr
t0: [17:00:00 28/03/2015] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
id: Peptamen el: 1 cu: MICU-A cg: -1 io: Peptamen Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [17:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [17:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [17:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [17:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [17:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [17:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 28/03/2015] tf: [11:00:00 29/03/2015] dt: 1140 id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml nb: 1 t0: [16:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [17:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [17:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:15:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 34.375 u1: ml/cmH st: NotStopd t0: [17:15:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [17:15:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [17:15:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [17:15:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [17:15:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [17:15:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [17:15:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [17:15:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [17:15:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [17:15:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 16.2 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 11.6 u1: L/min st: NotStopd t0: [17:15:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [17:15:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 23 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [17:15:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [17:15:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1.5 u1: cmH2O st: NotStopd t0: [17:15:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 92 u1: % st: NotStopd t0: [17:15:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 530 u1: ml/B st: NotStopd t0: [17:15:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [17:15:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [17:15:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [17:15:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [17:15:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [12:30:00 28/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Bronchoscopy st: NotStopd
id: Fentanyl el: 101 cu: MICU-A cg: -1 io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Ativan el: 101 cu: MICU-A cg: -1 io: D5W 60.0ml + 60mghr Ativan IV Infusions am: 60 du: mghr rt: IV Drip
io: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ra: 1 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 60.0ml + 60mghr Ativan IV Infusions vo: 60 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [18:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [18:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [18:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/03/2015] tf: [20:00:00 28/03/2015] dt: 120 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [18:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml nb: 1 t0: [18:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [18:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml nb: 1 t0: [18:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [18:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [19:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [19:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [19:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [19:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [19:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [19:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [19:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [19:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [19:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [19:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [20:00:00 28/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 28/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 28/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 28/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 28/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 28/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [20:00:00 28/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 28/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [20:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 28/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 28/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 28/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 28/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [20:00:00 28/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 28/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 28/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 28/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 28/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 28/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 28/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thin st: NotStopd t0: [20:00:00 28/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 28/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 28/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 28/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 28/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 28/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 28/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 28/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [20:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [20:00:00 28/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [20:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [20:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [20:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 28/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 90 ap: none
t0: [20:50:00 28/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.8989 u1: ml/cmH st: NotStopd t0: [20:50:00 28/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:50:00 28/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:50:00 28/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [20:50:00 28/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:50:00 28/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:50:00 28/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [20:50:00 28/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:50:00 28/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:50:00 28/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:50:00 28/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:50:00 28/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.2 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [20:50:00 28/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [20:50:00 28/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27.8 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18.5 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:50:00 28/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:50:00 28/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:50:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [20:50:00 28/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [20:50:00 28/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:50:00 28/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:50:00 28/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:50:00 28/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:50:00 28/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 28/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [21:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [21:00:00 28/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 28/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [21:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 28/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 28/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 28/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 28/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 28/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 28/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 28/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 28/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [22:00:00 28/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 28/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 28/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [22:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [21:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 28/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 28/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 28/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 28/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 108 cv: 108 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 138 cv: 4780.75 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 158 cv: 4980.75 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 110 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1160 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 108 cv: 3820.75 ap: none t0: [23:00:00 28/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 50 cv: 1160 ap: none
t0: [00:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 23 st: NotStopd t0: [00:00:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [00:00:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [00:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [00:00:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [23:00:00 28/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [23:00:00 28/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 28/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 28/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 28/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 28/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [00:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [00:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [00:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [00:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:54:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 44.7154 u1: ml/cmH st: NotStopd t0: [01:54:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [01:54:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:54:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [01:54:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [01:54:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:54:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [01:54:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [01:54:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [01:54:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [01:54:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [01:54:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.9 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.4 u1: L/min st: NotStopd t0: [01:54:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [01:54:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22.3 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18.8 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:54:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:54:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:54:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [01:54:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [01:54:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [01:54:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:54:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [01:54:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:54:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [01:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [01:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [02:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [02:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [02:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [01:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.7 u1: kg st: NotStopd t0: [04:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/03/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [04:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 29/03/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [04:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [04:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [04:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:55:00 29/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 29/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [06:17:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.9188 u1: ml/cmH st: NotStopd t0: [06:17:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [06:17:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:17:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [06:17:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [06:17:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [06:17:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [06:17:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [06:17:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [06:17:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [06:17:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [06:17:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.4 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [06:17:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 55 u1: L/m st: NotStopd t0: [06:17:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29.7 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22.8 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [06:17:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [06:17:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [06:17:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [06:17:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [06:17:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [06:17:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [06:17:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [06:17:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [06:17:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd
t0: [06:00:00 29/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 39.9 u1: % rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.8 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 375 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.2 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 rs: Final st: NotStopd
t0: [06:00:00 29/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [06:00:00 29/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [07:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 83 u1: BPM st: NotStopd t0: [07:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [07:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [07:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [07:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [07:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [07:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 375 vu: ml t0: [07:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 180 vu: ml t0: [07:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [07:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [07:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [07:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:30:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [07:30:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [07:30:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [07:30:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [07:30:00 29/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [07:30:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [07:30:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [07:30:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [07:30:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [07:30:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [07:30:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [07:30:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [07:30:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [07:30:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [07:30:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [07:30:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [07:30:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [07:30:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [07:30:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:30:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [07:30:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [07:30:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [07:30:00 29/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [07:30:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [07:30:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [07:30:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [07:30:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [07:30:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [07:30:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [07:30:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [07:30:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [07:30:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [07:30:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [07:30:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [07:30:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:30:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [07:30:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [07:30:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [07:30:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [07:30:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:45:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 74.7 u1: kg st: NotStopd t0: [07:45:00 29/03/2015] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: 4.8 u1: kg st: NotStopd t0: [07:45:00 29/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd
t0: [08:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [08:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [08:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/03/2015] tf: [20:00:00 29/03/2015] dt: 720 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 8 vu: ml t0: [08:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [08:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [08:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [08:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [08:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [08:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [09:00:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 36.6667 u1: ml/cmH st: NotStopd t0: [09:00:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [09:00:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [09:00:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [09:00:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [09:00:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [09:00:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [09:00:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [09:00:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [09:00:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 14.5 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.8 u1: L/min st: NotStopd t0: [09:00:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [09:00:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 25 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [09:00:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [09:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 96 u1: % st: NotStopd t0: [09:00:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 570 u1: ml/B st: NotStopd t0: [09:00:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [09:00:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [09:00:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [09:00:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [09:00:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [09:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [09:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 88 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [09:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 200 vu: ml t0: [09:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [09:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [09:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [09:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [10:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [10:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 153 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [10:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [10:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [10:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 29/03/2015] id: INV Line#4 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [10:00:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:00:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 23 st: NotStopd t0: [10:00:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [10:00:00 29/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [10:00:00 29/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml st: Stopped
t0: [10:30:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:30:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:30:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [10:30:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 92 u1: BPM st: NotStopd t0: [10:30:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:30:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:30:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [10:30:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:30:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [10:30:00 29/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [10:30:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [10:30:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [10:30:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:30:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 110 vu: ml t0: [11:00:00 29/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 100 vu: ml t0: [11:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [11:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 475 vu: ml
t0: [11:30:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 300 vu: ml
t0: [12:00:00 29/03/2015] id: INV Line#4 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 29/03/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 29/03/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 29/03/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 29/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [12:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 29/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [12:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [12:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [12:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [12:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 29/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [12:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.1 u1: Deg. F st: NotStopd t0: [12:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [12:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 555 vu: ml
t0: [12:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [13:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [13:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [13:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [13:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 250 vu: ml
t0: [13:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:30:00 29/03/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd
t0: [13:30:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml
t0: [13:30:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:30:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:30:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [13:30:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [13:30:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:30:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:30:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [13:30:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:30:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [13:30:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:30:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:30:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:30:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 44 u1: ml/cmH st: NotStopd t0: [14:00:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [14:00:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [14:00:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33.6 u1: Deg. C st: NotStopd t0: [14:00:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [14:00:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [14:00:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [14:00:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [14:00:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 12 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 11.9 u1: L/min st: NotStopd t0: [14:00:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [14:00:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 18 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [14:00:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [14:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 97 u1: % st: NotStopd t0: [14:00:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [14:00:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [14:00:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [14:00:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [14:00:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [14:00:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [14:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [14:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 77 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [14:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [14:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [14:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [14:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 29/03/2015] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [14:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [14:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: RU Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: Infiltrated st: NotStopd
t0: [14:00:00 29/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [14:00:00 29/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [14:00:00 29/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd
t0: [15:00:00 29/03/2015] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 29/03/2015] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 29/03/2015] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 29/03/2015] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [14:58:00 29/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [14:58:00 29/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd
t0: [16:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [16:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [16:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [16:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 29/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 29/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 29/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 29/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [16:00:00 29/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 29/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [16:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 29/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 29/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [16:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [16:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd
t0: [11:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml st: Stopped t0: [16:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml
t0: [17:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [17:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [17:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [17:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [17:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [17:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 29/03/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [17:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [17:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml t0: [17:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [17:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [17:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [18:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [18:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [18:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [18:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [18:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [18:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [18:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [18:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Restart
t0: [18:31:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 44 u1: ml/cmH st: NotStopd t0: [18:31:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [18:31:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [18:31:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 35 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [18:31:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [18:31:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [18:31:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [18:31:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 5 st: NotStopd t0: [18:31:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [18:31:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [18:31:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 12.3 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 13 u1: L/min st: NotStopd t0: [18:31:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 65 u1: L/m st: NotStopd t0: [18:31:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 19 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [18:31:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [18:31:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 1 u1: cmH2O st: NotStopd t0: [18:31:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 93 u1: % st: NotStopd t0: [18:31:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 590 u1: ml/B st: NotStopd t0: [18:31:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [18:31:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [18:31:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [18:31:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [18:31:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [19:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [19:00:00 29/03/2015] tf: [00:00:00 31/03/2015] dt: 1740 id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [19:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [19:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [19:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [19:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [19:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.5 u1: kg st: NotStopd t0: [19:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [19:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [19:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:25:00 29/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 43.3071 u1: ml/cmH st: NotStopd t0: [20:25:00 29/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:25:00 29/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:25:00 29/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.9 st: NotStopd t0: [20:25:00 29/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:25:00 29/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:25:00 29/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:25:00 29/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:25:00 29/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [20:25:00 29/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:25:00 29/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:25:00 29/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.1 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13 u1: L/min st: NotStopd t0: [20:25:00 29/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [20:25:00 29/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20.2 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:25:00 29/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:25:00 29/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:25:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [20:25:00 29/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [20:25:00 29/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:25:00 29/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:25:00 29/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:25:00 29/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:25:00 29/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 29/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 29/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 29/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 29/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 29/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 29/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 29/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 6 st: NotStopd t0: [20:00:00 29/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 29/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 29/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 29/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 29/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 29/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 29/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 29/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 29/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [20:00:00 29/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 29/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 29/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 29/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 29/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 29/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 29/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [20:00:00 29/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [20:00:00 29/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 29/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 29/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 29/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 29/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [20:00:00 29/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [20:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [20:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml
t0: [20:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 29/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: 1663 cv: 130 ap: none
t0: [21:00:00 29/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 29/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thin st: NotStopd t0: [20:00:00 29/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [21:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [21:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [21:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [22:00:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [22:00:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [22:00:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [21:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:30:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:30:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:30:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:30:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:30:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [22:30:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:30:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [22:30:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:30:00 29/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [22:30:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [22:30:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 29/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [22:30:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:30:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:45:00 29/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:45:00 29/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:45:00 29/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:45:00 29/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:45:00 29/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:45:00 29/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:45:00 29/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [23:45:00 29/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [23:45:00 29/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:45:00 29/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [23:45:00 29/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:45:00 29/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [23:45:00 29/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [00:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:00:00 30/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [00:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thin st: NotStopd t0: [00:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [00:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [00:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:15:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:15:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:15:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:15:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [00:15:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:15:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:15:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:15:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:15:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:15:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:15:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:15:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:20:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:20:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:20:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:20:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:20:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 151 u1: BPM st: NotStopd t0: [00:20:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [00:20:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:20:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [00:20:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:20:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:20:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:20:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:20:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 131 u1: BPM st: NotStopd t0: [00:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [00:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:30:00 30/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [00:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:35:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:35:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:35:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:35:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:35:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:35:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [00:35:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:35:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [00:35:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:35:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [00:35:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:35:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [00:35:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 29/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [23:00:00 29/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 29/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 29/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [00:00:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [00:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [00:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [23:45:00 29/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:45:00 29/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:15:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:15:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:20:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:20:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:35:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:35:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:40:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [00:40:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:40:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:40:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.9 st: NotStopd t0: [00:40:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:40:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:40:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [00:40:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:40:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [00:40:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:40:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:40:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.3 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13 u1: L/min st: NotStopd t0: [00:40:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [00:40:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20.7 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19.1 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:40:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:40:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:40:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [00:40:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [00:40:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:40:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:40:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:40:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:40:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [01:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [01:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [01:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [01:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 123 u1: BPM st: NotStopd t0: [01:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Atrial Flutter st: NotStopd t0: [01:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 59 u1: mmHg st: NotStopd t0: [01:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Universal st: NotStopd t0: [01:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RRT v1: 79.5 u1: kg st: NotStopd t0: [01:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 90 u1: % st: NotStopd t0: [01:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd t0: [01:14:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [01:14:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 89 u1: % st: NotStopd
t0: [01:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RRT so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:29:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [00:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 30/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [00:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [00:00:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 24 st: NotStopd t0: [00:00:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 30/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 30/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 128 u1: BPM st: NotStopd t0: [01:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [01:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [01:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [01:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 30/03/2015] tf: [11:00:00 01/04/2015] dt: 3450 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [01:30:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 62.5 vu: ml
t0: [01:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 147 u1: BPM st: NotStopd t0: [02:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [02:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [02:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/03/2015] tf: [04:00:00 30/03/2015] dt: 120 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [02:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [02:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [03:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [03:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [03:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:15:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:15:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:15:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:15:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:15:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 130 u1: BPM st: NotStopd t0: [03:15:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [03:15:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:15:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [03:15:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:15:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [03:15:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:15:00 30/03/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [03:15:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:15:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:15:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [03:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:15:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:15:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 127 u1: BPM st: NotStopd t0: [04:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 30/03/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [04:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [04:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 124 u1: BPM st: NotStopd t0: [04:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [04:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [04:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [04:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [04:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [04:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [04:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [04:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd
t0: [04:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [04:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Flutter st: NotStopd t0: [04:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [04:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [04:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:55:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:55:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:55:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:55:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:55:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:55:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:55:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:55:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [04:55:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:55:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.5 u1: kg st: NotStopd t0: [04:55:00 30/03/2015] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [04:55:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:55:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:55:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:55:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:55:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [05:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 30/03/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 30/03/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd
t0: [05:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:43:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 44 u1: ml/cmH st: NotStopd t0: [05:43:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [05:43:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [05:43:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.9 st: NotStopd t0: [05:43:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [05:43:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:43:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:43:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [05:43:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [05:43:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [05:43:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [05:43:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.9 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [05:43:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [05:43:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18.2 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:43:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:43:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [05:43:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [05:43:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [05:43:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [05:43:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:43:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [05:43:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:43:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 74.7 u1: kg st: NotStopd t0: [08:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [09:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [17:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [18:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [20:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [21:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [22:00:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [22:30:00 29/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [01:30:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [02:00:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [03:00:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [03:15:00 30/03/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 79.5 u1: kg st: NotStopd t0: [05:55:00 30/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 30/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [23:00:00 29/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: 1663 pv: 40 cv: 40 ap: none t0: [23:00:00 29/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: 498 cv: 498 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 pv: 513 cv: 3088.5 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 538 cv: 3938.5 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: 1663 pv: 25 cv: 720 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: 1663 pv: 40 cv: 2705 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 498 cv: 1233.5 ap: none t0: [23:00:00 29/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: 1663 pv: 40 cv: 2705 ap: none t0: [23:00:00 29/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 498 cv: 7151.25 ap: none
t0: [05:57:00 30/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.1 u1: % rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 315 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.86 u1: /mic l rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 rs: Final st: NotStopd
t0: [06:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [06:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [06:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [06:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [06:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:57:00 30/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:57:00 30/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [07:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [07:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [07:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [07:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [07:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [07:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [07:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [07:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [07:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:30:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [07:30:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [07:30:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:30:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [07:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:30:00 30/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:30:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [07:30:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [07:30:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [07:30:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [07:30:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [07:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [07:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [07:30:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [07:30:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [07:30:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [07:30:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [07:30:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [07:30:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [07:30:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [07:30:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [07:30:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [07:30:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [07:30:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [07:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:30:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [07:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [07:30:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [07:30:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [07:30:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [07:30:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [07:30:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [07:30:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [07:30:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [07:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:30:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [07:30:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [07:30:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [07:30:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [07:30:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [07:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [07:30:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [07:30:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [07:30:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [07:30:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:30:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [07:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:30:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [07:30:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [07:30:00 30/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [07:30:00 30/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:30:00 30/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [07:30:00 30/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 56.3333 u1: mmHg st: NotStopd t0: [08:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [08:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [08:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 100 vu: ml t0: [08:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [08:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [08:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [08:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Bloody v2: Plug st: NotStopd t0: [08:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 41.3534 u1: ml/cmH st: NotStopd t0: [08:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1.9 st: NotStopd t0: [08:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 10 st: NotStopd t0: [08:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [08:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13 u1: L/min st: NotStopd t0: [08:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20.8 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 18.8 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [08:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [09:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [09:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [09:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [09:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [09:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [09:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [10:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [10:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [10:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [10:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [10:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [10:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [10:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [10:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [11:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [11:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [10:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml nb: 1 t0: [10:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 100 vu: ml t0: [10:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 26 vu: ml t0: [11:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [11:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [11:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [11:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [11:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [11:30:00 30/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [11:38:00 30/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [11:38:00 30/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [12:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.66667 u1: ml/cmH st: NotStopd t0: [12:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [12:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [12:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [12:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.4 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.8 u1: L/min st: NotStopd t0: [12:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [12:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23.2 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.6 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 30/03/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 0 u1: . st: NotStopd t0: [12:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [12:00:00 30/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [12:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [12:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [12:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [12:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [12:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [12:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [12:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [12:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.9 u1: Deg. F st: NotStopd
t0: [13:30:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:30:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:30:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:30:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [13:30:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:30:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:30:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [13:30:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:30:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [13:30:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:30:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [13:30:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:30:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 187.5 vu: ml t0: [13:30:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [13:30:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 37.5 vu: ml t0: [13:30:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [13:30:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:30:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [13:30:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [14:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [14:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [15:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [15:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [15:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 187.5 vu: ml t0: [15:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [15:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 37.5 vu: ml t0: [15:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [15:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [15:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:17:00 30/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [15:17:00 30/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [15:17:00 30/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [15:17:00 30/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [15:17:00 30/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [15:17:00 30/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [15:17:00 30/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [16:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [16:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [16:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [16:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [16:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [16:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [16:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [13:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [13:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [13:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [16:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 30/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 30/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 30/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 30/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 30/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 30/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 30/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 30/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 30/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 30/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 30/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 30/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 30/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [16:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [16:00:00 30/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 30/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 30/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 30/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:30:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:30:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:30:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:30:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:30:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [16:30:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:30:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:30:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd
t0: [17:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.69231 u1: ml/cmH st: NotStopd t0: [17:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [17:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [17:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [17:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [17:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [17:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [17:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [17:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.4 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.3 u1: L/min st: NotStopd t0: [17:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [17:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.3 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [17:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [17:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [17:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [17:00:00 30/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [17:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [17:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [17:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [17:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 30/03/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [17:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [17:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [17:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [17:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [17:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [17:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 41 vu: ml
t0: [18:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [18:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [18:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [17:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [17:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [17:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 30/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [18:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [18:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [18:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [18:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [18:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [17:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [17:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd
t0: [20:00:00 30/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.46667 u1: ml/cmH st: NotStopd t0: [20:00:00 30/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 30/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 30/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 30/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 30/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [20:00:00 30/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 30/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [20:00:00 30/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 30/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [20:00:00 30/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.1 u1: L/min st: NotStopd t0: [20:00:00 30/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [20:00:00 30/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.4 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 30/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [20:00:00 30/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [20:00:00 30/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 30/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 30/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 30/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 30/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [20:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 30/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 30/03/2015] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 30/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [20:00:00 30/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 30/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 24 st: NotStopd t0: [20:00:00 30/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 30/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [20:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [20:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 30/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 30/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 30/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [20:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [20:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [20:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 105 vu: ml
t0: [20:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 30/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 30/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 30/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [22:00:00 30/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [22:00:00 30/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 30/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 30/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 30/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 30/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 30/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 30/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [22:00:00 30/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 30/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 30/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 30/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 30/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 30/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 30/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 30/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 30/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 30/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [22:00:00 30/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 30/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 30/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 30/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [22:00:00 30/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [22:00:00 30/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 30/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [22:00:00 30/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 30/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 30/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [22:00:00 30/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 30/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 30/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 3011.5 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 615 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1007 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1007 ap: none
id: Levophed el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions am: 4 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ra: 30 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [00:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.52778 u1: ml/cmH st: NotStopd t0: [00:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [00:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [00:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.2 u1: L/min st: NotStopd t0: [00:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.4 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.2 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [00:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [00:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 30/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 30/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 31/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 31/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 31/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 24 st: NotStopd t0: [00:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 31/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 31/03/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/03/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml t0: [00:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 0 vu: ml nb: 1 t0: [00:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [00:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 24 vu: ml
t0: [00:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 31/03/2015] tf: [12:00:00 31/03/2015] dt: 720 id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/03/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 138 cv: 3300.34 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 cv: 1094 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 cv: 1094 ap: none
t0: [00:05:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:05:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:05:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:05:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:05:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [00:05:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:05:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:05:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:05:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:05:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:10:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:10:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:10:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:10:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:10:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [00:10:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:10:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:10:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:10:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:10:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:15:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:15:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:15:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [00:15:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [00:15:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:15:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [00:15:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:15:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:15:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:05:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:05:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:05:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:10:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:10:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:10:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5.4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:15:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:15:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 30/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [00:00:00 31/03/2015] tf: [20:00:00 06/04/2015] dt: 9840 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 3 vu: ml t0: [00:00:00 31/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml st: Stopped
t0: [23:00:00 30/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3886.5 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 260 ap: none t0: [23:00:00 30/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 2879.5 ap: none t0: [23:00:00 30/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 10030.8 ap: none t0: [23:00:00 31/03/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 173 cv: 173 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 173 cv: 3630.34 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 35 cv: 300 ap: none t0: [23:00:00 31/03/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 173 cv: 2536.34 ap: none t0: [23:00:00 31/03/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 173 cv: 12567.1 ap: none
t0: [01:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [01:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [01:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 30/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [01:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [03:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [02:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [02:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [03:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [04:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [04:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 31/03/2015] tf: [12:00:00 31/03/2015] dt: 480 id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 32.8438 vu: ml t0: [04:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [04:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [02:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:23:00 31/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 31/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [04:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.52778 u1: ml/cmH st: NotStopd t0: [04:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [04:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [04:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [04:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.9 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.1 u1: L/min st: NotStopd t0: [04:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.4 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.6 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [04:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [04:00:00 31/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 u1: % rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.1 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 478 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.88 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd
t0: [05:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [05:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [05:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 31/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 31/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [06:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [06:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 79.4 u1: kg st: NotStopd t0: [06:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [06:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [06:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.5493 u1: ml/cmH st: NotStopd t0: [08:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.7 u1: L/min st: NotStopd t0: [08:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.2 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.1 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [08:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [07:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [07:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [07:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 31/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [08:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [08:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [08:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [08:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml t0: [08:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [08:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 225 vu: ml
t0: [07:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 31/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [08:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 31/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [08:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 31/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 31/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [09:00:00 31/03/2015] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 31/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 31/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 31/03/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RRT v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RRT v1: WNL st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RRT v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RRT v1: 2 v2: 25 st: NotStopd t0: [08:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RRT v1: Dampened st: NotStopd t0: [08:00:00 31/03/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:00:00 31/03/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RRT v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 24 st: NotStopd t0: [08:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RRT v1: Left Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RRT v1: WNL st: NotStopd t0: [09:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [09:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12 u1: L/min st: NotStopd t0: [09:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [09:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd
t0: [08:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd
t0: [09:33:00 31/03/2015] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [08:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [09:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76.6667 u1: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [09:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [09:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [09:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 7.5 vu: ml t0: [09:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [09:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:05:00 31/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [10:05:00 31/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [09:00:00 31/03/2015] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 413 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.3 rs: Final st: NotStopd
t0: [09:00:00 31/03/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [10:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [10:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [10:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [10:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 7.5 vu: ml t0: [10:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [10:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 31/03/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [09:00:00 31/03/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [09:00:00 31/03/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd
t0: [10:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [10:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [11:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [11:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [11:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 31/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 31/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [12:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 31/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 24 st: NotStopd t0: [12:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: Left Antecub v2: 20 gauge st: NotStopd t0: [12:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: Redness st: NotStopd t0: [12:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [12:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [12:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [12:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 31/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [12:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.0556 u1: Deg. C st: NotStopd t0: [12:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.5 u1: Deg. F st: NotStopd t0: [12:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [12:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [11:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 7.5 vu: ml t0: [12:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 31/03/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vu: ml st: Stopped t0: [12:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [12:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [11:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 31/03/2015] id: Levophed el: 1 cu: MICU-A so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [13:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [13:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.6667 u1: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [13:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml
t0: [14:00:00 31/03/2015] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2015] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2015] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [14:00:00 31/03/2015] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 31/03/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to MD st: NotStopd t0: [12:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [14:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [14:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [14:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [14:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [14:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [14:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 31/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [14:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [14:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml st: Restart t0: [14:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [14:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [14:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 31/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml
t0: [10:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [10:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Other/Remarks v2: Copious st: NotStopd t0: [12:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [14:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Other/Remarks v2: Copious st: NotStopd t0: [15:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [15:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [15:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [15:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:30:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [15:30:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:30:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [15:30:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:30:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [15:30:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:30:00 31/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:30:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [15:30:00 31/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [15:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:13:00 31/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 31/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [16:21:00 31/03/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [16:21:00 31/03/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [16:21:00 31/03/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [16:21:00 31/03/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [16:21:00 31/03/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [16:21:00 31/03/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:21:00 31/03/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 31/03/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 31/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [16:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [16:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [16:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [16:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 61.3333 u1: mmHg st: NotStopd t0: [16:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 31/03/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [16:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [16:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd t0: [16:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [15:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [16:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 175 vu: ml
t0: [16:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.06796 u1: ml/cmH st: NotStopd t0: [12:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [12:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [12:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.3 u1: L/min st: NotStopd t0: [12:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [12:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 30.6 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [12:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 560 u1: ml/B st: NotStopd t0: [12:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd t0: [17:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 1.13402 u1: ml/cmH st: NotStopd t0: [17:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [17:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [17:00:00 31/03/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 3.1 st: NotStopd t0: [17:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [17:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [17:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [17:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [17:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [17:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [17:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [17:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [17:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [17:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 29.4 u1: cmH2O st: NotStopd t0: [17:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.9 u1: cmH2O st: NotStopd t0: [17:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [17:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [17:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [17:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 22 u1: ml/B st: NotStopd t0: [17:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [17:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [17:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [17:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.8 u1: L/min st: NotStopd t0: [17:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [17:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd
t0: [17:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [17:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [17:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [17:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [17:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [17:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [17:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [18:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [18:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [17:00:00 31/03/2015] tf: [10:00:00 03/04/2015] dt: 3900 id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml st: Restart
t0: [16:00:00 31/03/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Blood Cultured st: NotStopd t0: [18:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [18:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 61.6667 u1: mmHg st: NotStopd t0: [18:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [18:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [18:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [18:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [18:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:31:00 31/03/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [18:31:00 31/03/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [18:31:00 31/03/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [18:31:00 31/03/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [18:31:00 31/03/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [18:31:00 31/03/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [20:00:00 31/03/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 31/03/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 31/03/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 31/03/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 31/03/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 31/03/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 31/03/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [20:00:00 31/03/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 31/03/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [20:00:00 31/03/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 31/03/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 31/03/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [20:00:00 31/03/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 31/03/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.5 u1: L/min st: NotStopd t0: [20:00:00 31/03/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 31/03/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 85 u1: L/m st: NotStopd t0: [20:00:00 31/03/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 29.9 u1: cmH2O st: NotStopd t0: [20:00:00 31/03/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.6 u1: cmH2O st: NotStopd t0: [20:00:00 31/03/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 31/03/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 4 u1: BPM st: NotStopd t0: [20:00:00 31/03/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 31/03/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 31/03/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [20:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Other/Remarks v2: Moderate st: NotStopd t0: [20:00:00 31/03/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 31/03/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [20:00:00 31/03/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 31/03/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 31/03/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 31/03/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 31/03/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 31/03/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [20:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 31/03/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 31/03/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [20:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [20:00:00 31/03/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 31/03/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [20:00:00 31/03/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 31/03/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 83 u1: BPM st: NotStopd t0: [20:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [20:00:00 31/03/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 31/03/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 31/03/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [20:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 31/03/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 31/03/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 31/03/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [20:00:00 31/03/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 31/03/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 31/03/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [20:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 31/03/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [20:00:00 31/03/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 31/03/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 31/03/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 31/03/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 31/03/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 31/03/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 31/03/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 31/03/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 31/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 31/03/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [20:00:00 31/03/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 31/03/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 31/03/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 31/03/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 31/03/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/03/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/03/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 31/03/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 31/03/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 31/03/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 31/03/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 31/03/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 31/03/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 31/03/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [20:00:00 31/03/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [20:00:00 31/03/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 30 vu: ml t0: [20:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 375 vu: ml nb: 1 t0: [20:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [20:00:00 31/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 105 vu: ml t0: [20:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [20:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [20:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [20:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 31/03/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml
t0: [23:00:00 31/03/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 30 ap: none
t0: [21:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [21:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [21:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [21:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [21:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [21:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [21:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [21:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [21:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [21:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [21:00:00 31/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 35 vu: ml t0: [21:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [21:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 31/03/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [22:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 31/03/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 31/03/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 31/03/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [22:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 31/03/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 31/03/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [22:00:00 31/03/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [22:00:00 31/03/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 31/03/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [22:00:00 31/03/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 31/03/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 31/03/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 31/03/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [22:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [22:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [22:00:00 31/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 35 vu: ml t0: [22:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 31/03/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [22:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 31/03/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 31/03/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 31/03/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 31/03/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 31/03/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [23:00:00 31/03/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 31/03/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [23:00:00 31/03/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [23:00:00 31/03/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 31/03/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 31/03/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 31/03/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [23:00:00 31/03/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 31/03/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 01/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd
t0: [23:00:00 31/03/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 31/03/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 31/03/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [23:00:00 31/03/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [23:00:00 31/03/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 35 vu: ml t0: [23:00:00 31/03/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 31/03/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [00:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [00:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [23:00:00 01/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 40 cv: 40 ap: none t0: [23:00:00 01/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 3 cv: 3 ap: none t0: [23:00:00 01/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 23 cv: 1877 ap: none t0: [23:00:00 01/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 43 cv: 2197 ap: none t0: [23:00:00 01/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 160 ap: none t0: [23:00:00 01/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 40 cv: 2377 ap: none t0: [23:00:00 01/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 3 cv: -180 ap: none t0: [23:00:00 01/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 40 cv: 2377 ap: none t0: [23:00:00 01/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 3 cv: 12387.1 ap: none
t0: [00:00:00 01/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 01/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 01/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [00:00:00 01/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 01/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Bilious st: NotStopd t0: [00:00:00 01/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 01/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [00:00:00 01/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [00:00:00 01/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 01/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 01/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 01/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 01/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 01/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [00:00:00 01/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 01/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 01/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 01/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 01/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 01/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 01/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 01/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 01/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [00:00:00 01/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd
t0: [00:00:00 01/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [00:00:00 01/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [00:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 01/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [00:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [20:00:00 31/03/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 25.1256 u1: ml/cmH st: NotStopd t0: [20:00:00 31/03/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 01/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 25.5102 u1: ml/cmH st: NotStopd t0: [00:00:00 01/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 01/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 01/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 01/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 01/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 01/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [00:00:00 01/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 01/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [00:00:00 01/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 01/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [00:00:00 01/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.5 u1: L/min st: NotStopd t0: [00:00:00 01/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 01/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 29.6 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.3 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 01/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 2 u1: BPM st: NotStopd t0: [00:00:00 01/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 01/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 01/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 01/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 01/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 01/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 01/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 01/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 01/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [00:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml t0: [02:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [02:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [02:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [02:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 115 vu: ml
t0: [00:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [00:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [00:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 01/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [00:00:00 01/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 01/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 01/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [01:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [01:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 01/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [01:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [02:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 63.6667 u1: mmHg st: NotStopd t0: [02:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 01/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [02:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [03:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [03:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 63.3333 u1: mmHg st: NotStopd t0: [03:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [03:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 01/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [03:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [04:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 01/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [04:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 01/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 79.4 u1: kg st: NotStopd t0: [04:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 01/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 01/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [04:00:00 01/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [04:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [03:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [03:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [04:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [04:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 115 vu: ml
t0: [03:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 01/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 01/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 01/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 01/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 01/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 7 u1: points st: NotStopd t0: [04:00:00 01/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 01/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [04:00:00 01/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 01/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 01/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [04:00:00 01/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 01/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 01/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 01/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 01/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 01/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 01/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 01/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 01/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 01/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 01/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 01/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [04:00:00 01/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 01/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 01/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 01/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [04:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [04:00:00 01/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [04:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [04:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [05:00:00 01/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 20.2429 u1: ml/cmH st: NotStopd t0: [05:00:00 01/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [05:00:00 01/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 01/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 01/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [05:00:00 01/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [05:00:00 01/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 01/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [05:00:00 01/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [05:00:00 01/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [05:00:00 01/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 01/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [05:00:00 01/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [05:00:00 01/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 13.5 u1: cmH2O st: NotStopd t0: [05:00:00 01/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 25.8 u1: L/min st: NotStopd t0: [05:00:00 01/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 01/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 85 u1: L/m st: NotStopd t0: [05:00:00 01/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 34.7 u1: cmH2O st: NotStopd t0: [05:00:00 01/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [05:00:00 01/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [05:00:00 01/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [05:00:00 01/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [05:00:00 01/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [05:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [05:00:00 01/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [05:00:00 01/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [05:00:00 01/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [05:00:00 01/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 01/04/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [05:00:00 01/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 01/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [05:00:00 01/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [05:00:00 01/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [05:19:00 01/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [05:19:00 01/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:19:00 01/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:19:00 01/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [05:19:00 01/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [05:19:00 01/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [04:37:00 01/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.2 u1: % rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 346 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.81 u1: /mic l rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 rs: Final st: NotStopd
t0: [04:37:00 01/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 84 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:37:00 01/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [07:00:00 01/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 01/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 01/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 01/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 01/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 01/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 01/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 01/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 01/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 01/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [08:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [08:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 01/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 01/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 01/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 01/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 01/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [08:00:00 01/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 01/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:00:00 01/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 01/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 01/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 01/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 01/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 01/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 01/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 01/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 01/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 01/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [08:00:00 01/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 01/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3889 u1: Deg. C st: NotStopd t0: [08:00:00 01/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.1 u1: Deg. F st: NotStopd t0: [08:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 01/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 01/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 01/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 01/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 01/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 01/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 01/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 01/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 01/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 01/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 500 vu: ml t0: [08:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [08:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [08:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 01/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 62.5 u1: ml/cmH st: NotStopd t0: [08:00:00 01/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 01/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 01/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 01/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2 st: NotStopd t0: [08:00:00 01/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [08:00:00 01/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 01/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 01/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:00:00 01/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [08:00:00 01/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [08:00:00 01/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [08:00:00 01/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 01/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 7 u1: BPM st: NotStopd t0: [08:00:00 01/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 01/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 01/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 01/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 01/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 01/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 01/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [08:00:00 01/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 01/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:30:00 01/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [08:30:00 01/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 31/03/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd
t0: [09:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [09:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [09:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [09:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [10:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [10:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [10:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 01/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [10:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 125 vu: ml t0: [10:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [10:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [10:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [11:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped t0: [11:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [11:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [11:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 01/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [11:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [11:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd
t0: [12:00:00 01/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 01/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 01/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 01/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 01/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 01/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 01/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 01/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 01/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [12:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [12:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 01/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 01/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 01/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 01/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 01/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 01/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 01/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 01/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 01/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 01/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 01/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [12:00:00 01/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 01/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 01/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 01/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 01/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 01/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 01/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 01/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 01/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 01/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 01/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 01/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [12:00:00 01/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 01/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [12:00:00 01/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [12:00:00 01/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 01/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 01/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 01/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 01/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 01/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 01/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 01/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 01/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 01/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [12:00:00 01/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [12:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [12:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [12:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [13:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [13:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [13:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [13:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [13:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [13:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [13:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 01/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [13:00:00 01/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [13:00:00 01/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 01/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 01/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 01/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2.3 st: NotStopd t0: [13:00:00 01/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [13:00:00 01/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 01/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [13:00:00 01/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [13:00:00 01/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [13:00:00 01/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 01/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [13:00:00 01/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [13:00:00 01/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 01/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [13:00:00 01/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [13:00:00 01/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [13:00:00 01/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:00:00 01/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [13:00:00 01/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [13:00:00 01/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [13:00:00 01/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [13:00:00 01/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [13:00:00 01/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 01/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 01/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [13:00:00 01/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 01/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [14:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [14:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [14:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [14:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml nb: 1 t0: [14:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 47 vu: ml
t0: [14:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 01/04/2015] id: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 0 st: D/C'd
t0: [15:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [15:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [15:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 01/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [15:00:00 01/04/2015] tf: [00:00:00 07/04/2015] dt: 7740 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [15:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [15:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [15:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 01/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [16:00:00 01/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 01/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 01/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 01/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 01/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 01/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 01/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 01/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 01/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 01/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 01/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 01/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 01/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 01/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 01/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 01/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 01/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 01/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 01/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 01/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 01/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 01/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 01/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 01/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 01/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [16:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 01/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 01/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 01/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 01/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 01/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 01/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 01/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 01/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 01/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 01/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [16:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [16:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66.3333 u1: mmHg st: NotStopd t0: [16:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 01/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [16:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [16:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [16:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 01/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 01/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 01/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [16:00:00 01/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 01/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [16:00:00 01/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [17:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [17:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 68.3333 u1: mmHg st: NotStopd t0: [17:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [17:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [17:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [17:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [17:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [17:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [17:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:39:00 01/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [18:00:00 01/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [18:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [18:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [18:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [18:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [18:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [18:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [18:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [18:20:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 325 vu: ml
t0: [18:30:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 275 vu: ml
t0: [18:00:00 01/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [18:00:00 01/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [18:00:00 01/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 01/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [18:00:00 01/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:00:00 01/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 2.3 st: NotStopd t0: [18:00:00 01/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [18:00:00 01/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 01/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [18:00:00 01/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [18:00:00 01/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [18:00:00 01/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 01/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [18:00:00 01/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 18.3 u1: L/min st: NotStopd t0: [18:00:00 01/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 01/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [18:00:00 01/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [18:00:00 01/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [18:00:00 01/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [18:00:00 01/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [18:00:00 01/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 34 u1: BPM st: NotStopd t0: [18:00:00 01/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [18:00:00 01/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [18:00:00 01/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [18:00:00 01/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 01/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [18:00:00 01/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [18:00:00 01/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [18:00:00 01/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:45:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 275 vu: ml
t0: [19:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [19:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70.6667 u1: mmHg st: NotStopd t0: [19:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [19:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [19:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [19:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [19:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [19:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:02:00 01/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [19:02:00 01/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:02:00 01/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [19:02:00 01/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [19:02:00 01/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [19:02:00 01/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [19:00:00 01/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [18:30:00 01/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:30:00 01/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 01/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 01/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 01/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 01/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 01/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 01/04/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [20:00:00 01/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 01/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 01/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 01/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 01/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [20:00:00 01/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 01/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 01/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:00:00 01/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 01/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 01/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 01/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 01/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 01/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 01/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 01/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 01/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 01/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [20:00:00 01/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [20:00:00 01/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 01/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 01/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 01/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [20:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [20:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [20:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 01/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 160 ap: none
t0: [21:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [21:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [21:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [21:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 01/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 01/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [22:00:00 01/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [22:00:00 01/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 01/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [22:00:00 01/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 01/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [22:00:00 01/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [21:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 01/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 01/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:11:00 02/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [00:11:00 02/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [00:11:00 02/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [00:11:00 02/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [00:11:00 02/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [00:11:00 02/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd
t0: [00:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 02/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 02/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 02/04/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [00:00:00 02/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 02/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 02/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 02/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [00:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 02/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [00:00:00 02/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [00:00:00 02/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 02/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 02/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 02/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 02/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 02/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 02/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 02/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 02/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 02/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 02/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 02/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 02/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 02/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 02/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 02/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [22:00:00 01/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [23:00:00 01/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 01/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 01/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 01/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 01/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 01/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [00:00:00 02/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [00:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 02/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: 1663 pv: 15 cv: 15 ap: none t0: [23:00:00 02/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: -15 cv: -15 ap: none t0: [23:00:00 02/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 cv: 742.125 ap: none t0: [23:00:00 02/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 cv: 1962.12 ap: none t0: [23:00:00 02/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: 1663 cv: 1220 ap: none t0: [23:00:00 02/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: 1663 pv: 15 cv: 1065 ap: none t0: [23:00:00 02/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: -15 cv: 897.125 ap: none t0: [23:00:00 02/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: 1663 pv: 15 cv: 1065 ap: none t0: [23:00:00 02/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: -15 cv: 13284.2 ap: none
t0: [00:00:00 02/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 02/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 02/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 02/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 02/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:00:00 02/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 02/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 02/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:00:00 02/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [00:00:00 02/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 02/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 02/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [00:00:00 02/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [00:00:00 02/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 02/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 02/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 02/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 02/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 02/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 02/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 02/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 02/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 02/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:00:00 02/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 02/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 02/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [03:00:00 02/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [03:00:00 02/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [03:00:00 02/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [03:00:00 02/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [03:00:00 02/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [03:00:00 02/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 02/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [03:00:00 02/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [03:00:00 02/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [03:00:00 02/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 02/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [03:00:00 02/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [03:00:00 02/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.1 u1: cmH2O st: NotStopd t0: [03:00:00 02/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [03:00:00 02/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 02/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [03:00:00 02/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [03:00:00 02/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [03:00:00 02/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [03:00:00 02/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [03:00:00 02/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [03:00:00 02/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [03:00:00 02/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [03:00:00 02/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 02/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 02/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [03:00:00 02/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [03:00:00 02/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [03:00:00 02/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [03:00:00 02/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [03:00:00 02/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [02:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 50.6667 u1: mmHg st: NotStopd t0: [02:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [02:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 02/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 02/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 02/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 02/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 02/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 02/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [04:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [04:00:00 02/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [04:00:00 02/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 02/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 02/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 02/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 02/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 02/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 02/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 02/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 02/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [02:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [04:00:00 02/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [04:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [02:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 02/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [04:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [04:00:00 02/04/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 02/04/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd
t0: [06:00:00 02/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [06:00:00 02/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [06:00:00 02/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 02/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [06:00:00 02/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [06:00:00 02/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [06:00:00 02/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 02/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [06:00:00 02/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [06:00:00 02/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [06:00:00 02/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 02/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [06:00:00 02/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [06:00:00 02/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: cmH2O st: NotStopd t0: [06:00:00 02/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [06:00:00 02/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 02/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [06:00:00 02/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [06:00:00 02/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [06:00:00 02/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [06:00:00 02/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [06:00:00 02/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [06:00:00 02/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [06:00:00 02/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [06:00:00 02/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [06:00:00 02/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [06:00:00 02/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [06:00:00 02/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [06:00:00 02/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [06:00:00 02/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [06:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [06:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [06:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [06:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [06:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 02/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 02/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [06:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [06:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:25:00 02/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [06:25:00 02/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:25:00 02/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:25:00 02/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [06:25:00 02/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [06:25:00 02/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [06:44:00 02/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.5 u1: % rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 372 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.84 u1: /mic l rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd
t0: [06:44:00 02/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:44:00 02/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [08:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 02/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 02/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 02/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 02/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 02/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 02/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [08:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 02/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 02/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 02/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 02/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 02/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 02/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 02/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 02/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [08:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 02/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 02/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 02/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 02/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 02/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 02/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 02/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [08:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [08:00:00 02/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 02/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 02/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 02/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [08:00:00 02/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 02/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 02/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 02/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [08:00:00 02/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 02/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 02/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [08:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:00:00 02/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 02/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 02/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 02/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 02/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 02/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 02/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 02/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 02/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 02/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 14 u1: number st: NotStopd t0: [08:00:00 02/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [07:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [07:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 02/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 20 vu: ml t0: [08:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0.5 vu: ml t0: [08:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [08:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [08:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [08:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 02/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd
t0: [09:00:00 02/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [09:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 83 u1: BPM st: NotStopd t0: [09:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [09:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [09:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [09:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0.5 vu: ml t0: [09:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [09:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [09:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 02/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [09:00:00 02/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 02/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [09:00:00 02/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 02/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 02/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [09:00:00 02/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [09:00:00 02/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 02/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [09:00:00 02/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [09:00:00 02/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [09:00:00 02/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 02/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [09:00:00 02/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [09:00:00 02/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [09:00:00 02/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:00:00 02/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:00:00 02/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 02/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [09:00:00 02/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [09:00:00 02/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 02/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 02/04/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [09:00:00 02/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 02/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [09:00:00 02/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [09:00:00 02/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:51:00 02/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [09:51:00 02/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [09:51:00 02/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [09:51:00 02/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [09:51:00 02/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 58 u1: mmHg rs: Final st: NotStopd t0: [09:51:00 02/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [10:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 02/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [10:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [10:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 02/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 02/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [10:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [10:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 02/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [10:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 02/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 02/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [10:52:00 02/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [10:52:00 02/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [10:52:00 02/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [10:52:00 02/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [10:52:00 02/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [10:52:00 02/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [11:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [11:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [11:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [11:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [11:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [11:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [11:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [11:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [11:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [11:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [11:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
id: Heparin el: 100 cu: MICU-A cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 02/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Cardiac Echo st: NotStopd t0: [11:45:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:45:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:45:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 141 u1: BPM st: NotStopd t0: [11:45:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:45:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [11:45:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 145 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [11:45:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [11:45:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:45:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [11:45:00 02/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: EKG st: NotStopd t0: [11:45:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 31 u1: BPM st: NotStopd t0: [11:45:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [11:45:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 02/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 02/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 02/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 02/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 02/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 116 u1: BPM st: NotStopd t0: [12:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 02/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 02/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 02/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 02/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 02/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 02/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 02/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 02/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 02/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 02/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 02/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 02/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 02/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [12:00:00 02/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 02/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 02/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [12:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 02/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [12:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [12:00:00 02/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 02/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 02/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [12:00:00 02/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [12:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 02/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 02/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 02/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 02/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 02/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 02/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 02/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 02/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 14 u1: number st: NotStopd t0: [12:00:00 02/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0.8 vu: ml t0: [12:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [12:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [12:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [11:45:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:45:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 02/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:15:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:15:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:15:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [12:15:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [12:15:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 117 u1: BPM st: NotStopd t0: [12:15:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:15:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:15:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66.6667 u1: mmHg st: NotStopd t0: [12:15:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:15:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [12:15:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:15:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [12:15:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [12:15:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [12:15:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.8 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:15:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:15:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 02/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to MD st: NotStopd t0: [13:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 104 u1: BPM st: NotStopd t0: [13:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 68.6667 u1: mmHg st: NotStopd t0: [13:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [13:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [13:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [13:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 02/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [13:00:00 02/04/2015] tf: [11:00:00 06/04/2015] dt: 5640 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 02/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [13:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0.575 vu: ml t0: [13:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [13:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml t0: [13:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [13:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 02/04/2015] tf: [14:38:00 16/04/2015] dt: 20258 id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
id: Diltiazem el: 100 cu: MICU-A cg: -1 io: D5W 125.0ml + 125mghr Diltiazem IV Infusions am: 125 du: mghr rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 125.0ml + 125mghr Diltiazem IV Infusions vo: 125 du: ml rt: Intravenous Push
t0: [06:44:00 02/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd
t0: [12:00:00 02/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [12:00:00 02/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100 u1: Deg. F st: NotStopd t0: [14:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 02/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 120 u1: BPM st: NotStopd t0: [14:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.6667 u1: mmHg st: NotStopd t0: [14:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [14:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [14:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/04/2015] tf: [16:00:00 02/04/2015] dt: 120 id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 02/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [14:00:00 02/04/2015] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 114 vo: 5 vu: ml t0: [14:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0.5 vu: ml t0: [14:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [14:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1 vu: ml
t0: [14:00:00 02/04/2015] tf: [16:00:00 02/04/2015] dt: 120 id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 02/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 02/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 02/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [14:00:00 02/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [14:00:00 02/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [14:00:00 02/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [14:00:00 02/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [14:00:00 02/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 02/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [14:00:00 02/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [14:00:00 02/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [14:00:00 02/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 02/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [14:00:00 02/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [14:00:00 02/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [14:00:00 02/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [14:00:00 02/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [14:00:00 02/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [14:00:00 02/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [14:00:00 02/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:00:00 02/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 02/04/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [14:00:00 02/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [14:00:00 02/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [14:00:00 02/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [14:00:00 02/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:30:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:30:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:30:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 130 u1: BPM st: NotStopd t0: [14:30:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:30:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [14:30:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:30:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [14:30:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:30:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [14:30:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:30:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [14:30:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:45:00 02/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [15:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 112 u1: BPM st: NotStopd t0: [15:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 74.6667 u1: mmHg st: NotStopd t0: [15:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 02/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [15:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [15:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 31 u1: BPM st: NotStopd t0: [15:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:15:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:15:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:15:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:15:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:15:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 135 u1: BPM st: NotStopd t0: [15:15:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [15:15:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:15:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [15:15:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:15:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [15:15:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:15:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [15:15:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:15:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [15:15:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:30:00 02/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 v1: 10 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:30:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:30:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:15:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:15:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:15:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:30:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:30:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:30:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:30:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:30:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 149 u1: BPM st: NotStopd t0: [15:30:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [15:30:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:30:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [15:30:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:30:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [15:30:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:30:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [15:30:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 33 u1: BPM st: NotStopd t0: [15:30:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [15:30:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:15:00 02/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:30:00 02/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:30:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:30:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:27:00 02/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 18 u1: ml/B st: NotStopd t0: [15:27:00 02/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd
t0: [15:35:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:35:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:35:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 139 u1: BPM st: NotStopd t0: [15:35:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Flutter st: NotStopd t0: [15:35:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:35:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [15:35:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:35:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [15:35:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [15:35:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [15:35:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:35:00 02/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:35:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:35:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:35:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 02/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd
t0: [14:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 02/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [14:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 02/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 02/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 02/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 02/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 02/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 123 u1: BPM st: NotStopd t0: [16:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 02/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 02/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 02/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 02/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 02/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 02/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 02/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 02/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 02/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 02/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 02/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 02/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 02/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.6667 u1: mmHg st: NotStopd t0: [16:00:00 02/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 02/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 02/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [16:00:00 02/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Blood Cultured st: NotStopd t0: [16:00:00 02/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 02/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 02/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [16:00:00 02/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Golden v2: Liquid st: NotStopd t0: [16:00:00 02/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 02/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 39.3889 u1: Deg. C st: NotStopd t0: [16:00:00 02/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 102.9 u1: Deg. F st: NotStopd t0: [16:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 02/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 02/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 02/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 02/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 02/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 02/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 02/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 02/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 02/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [17:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Frequent st: NotStopd t0: [17:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [17:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 99 u1: BPM st: NotStopd t0: [17:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [17:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [17:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [17:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 02/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [16:00:00 02/04/2015] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 114 vo: 22.5 vu: ml st: Stopped t0: [16:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2.5 vu: ml t0: [16:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [16:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3.25 vu: ml t0: [16:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 225 vu: ml
t0: [16:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 02/04/2015] tf: [14:38:00 16/04/2015] dt: 20018 id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 v1: 15 du: mghr sv: 125 su: ml rt: IV Drip st: Stopped t0: [17:00:00 02/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 du: mghr sv: 125 su: ml rt: IV Drip
t0: [16:00:00 02/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 42 rs: Final st: NotStopd
t0: [18:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 02/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [18:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [18:00:00 02/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [18:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 02/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 02/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [18:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [18:00:00 02/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 02/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [18:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [18:00:00 02/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [18:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 02/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: Independent st: NotStopd t0: [18:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [18:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [18:00:00 02/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [18:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 02/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [18:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml t0: [18:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [18:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 02/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.6667 u1: Deg. C st: NotStopd t0: [18:00:00 02/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.6 u1: Deg. F st: NotStopd
t0: [19:00:00 02/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [19:00:00 02/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [19:00:00 02/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:00:00 02/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 5 u1: lpm st: NotStopd t0: [19:00:00 02/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:00:00 02/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [19:00:00 02/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [19:00:00 02/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [19:00:00 02/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [19:00:00 02/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [19:00:00 02/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [19:00:00 02/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [19:00:00 02/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [19:00:00 02/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 65 u1: L/m st: NotStopd t0: [19:00:00 02/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [19:00:00 02/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [19:00:00 02/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [19:00:00 02/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [19:00:00 02/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [19:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [19:00:00 02/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:00:00 02/04/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:00:00 02/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [19:00:00 02/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [19:00:00 02/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [19:00:00 02/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 02/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 02/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 02/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [20:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 02/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 02/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 02/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 02/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 22 st: NotStopd t0: [20:00:00 02/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 02/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 02/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [20:00:00 02/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 02/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 02/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 02/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [20:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [20:00:00 02/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 02/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [20:00:00 02/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [20:00:00 02/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 02/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 02/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 02/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 02/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 02/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 02/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 02/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 02/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [20:00:00 02/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [20:00:00 02/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 02/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 02/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 02/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 02/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 02/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 02/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 02/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 02/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 02/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:15:00 02/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 74.6 rs: Final st: NotStopd
t0: [21:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [21:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [21:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [21:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 60.3333 u1: mmHg st: NotStopd t0: [21:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [21:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [21:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [21:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [21:00:00 02/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 42 vu: ml t0: [21:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [21:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 180 vu: ml t0: [21:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [21:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [21:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 115 vu: ml
t0: [21:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 02/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT u1: . st: NotStopd
t0: [22:00:00 02/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [22:00:00 02/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [22:00:00 02/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [22:00:00 02/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [22:00:00 02/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [22:00:00 02/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [22:00:00 02/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [22:00:00 02/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 02/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [22:00:00 02/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 02/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [22:00:00 02/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 02/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 10 vu: ml
t0: [22:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [22:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 56.6667 u1: mmHg st: NotStopd t0: [22:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [22:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [22:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:45:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:45:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:45:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:45:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:45:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [22:45:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:45:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [22:45:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [22:45:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:45:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:45:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:45:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [22:45:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:45:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:45:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:45:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:45:00 02/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:45:00 02/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 02/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 02/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 02/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 02/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 111 u1: BPM st: NotStopd t0: [23:00:00 02/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 02/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 02/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [23:00:00 02/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 02/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 02/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 02/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [23:00:00 02/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:00:00 02/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [23:00:00 02/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [23:00:00 02/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 02/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 02/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 26.738 u1: ml/cmH st: NotStopd t0: [00:00:00 03/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 03/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 03/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 5 u1: lpm st: NotStopd t0: [00:00:00 03/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 03/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.8 st: NotStopd t0: [00:00:00 03/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 03/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 03/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [00:00:00 03/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 03/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [00:00:00 03/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 03/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 03/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 13.1 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.3 u1: L/min st: NotStopd t0: [00:00:00 03/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 03/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.2 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.3 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 03/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [00:00:00 03/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 03/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 03/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [00:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 03/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [00:00:00 03/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 03/04/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 03/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [00:00:00 03/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 03/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 03/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [00:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [00:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 56.6667 u1: mmHg st: NotStopd t0: [00:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [00:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [00:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [00:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml
t0: [00:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -48.5 cv: -48.5 ap: none t0: [23:00:00 03/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 51.5 cv: 1401 ap: none t0: [23:00:00 03/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 101.5 cv: 3201 ap: none t0: [23:00:00 03/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1520 ap: none t0: [23:00:00 03/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -48.5 cv: 1051 ap: carryForward t0: [23:00:00 03/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -48.5 cv: 14335.2 ap: carryForward
t0: [00:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 39 u1: Deg. C st: NotStopd t0: [00:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 102.2 u1: Deg. F st: NotStopd t0: [01:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 94 u1: BPM st: NotStopd t0: [01:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [01:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [01:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [01:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [01:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml t0: [01:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [01:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [01:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [02:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 63.3333 u1: mmHg st: NotStopd t0: [02:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [02:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [02:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [02:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [02:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3889 u1: Deg. C st: NotStopd t0: [02:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.1 u1: Deg. F st: NotStopd t0: [02:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [02:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [02:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 03/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 03/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 03/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [00:00:00 03/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 03/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 03/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 03/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 03/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 03/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 03/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 03/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 03/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 03/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 03/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 03/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 03/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 03/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 03/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 03/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 03/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [00:00:00 03/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 03/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 03/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 03/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 03/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 03/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 03/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 03/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [00:00:00 03/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 03/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 03/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [21:00:00 02/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 15 vu: ml t0: [00:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 120 vu: ml nb: 1 t0: [02:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml nb: 1
t0: [03:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [03:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [03:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [03:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [03:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml
t0: [03:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:35:00 03/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.1 u1: % rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 390 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd
t0: [03:35:00 03/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 99.5 rs: Final st: NotStopd
t0: [04:00:00 03/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 03/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 03/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 03/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 03/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 03/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 03/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 03/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [04:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 03/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 03/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 03/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 03/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 03/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [04:00:00 03/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 03/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 03/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [04:00:00 03/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 03/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [04:00:00 03/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 03/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [04:00:00 03/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 03/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 03/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 03/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 03/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 03/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 03/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [04:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [04:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [04:00:00 03/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 03/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [04:00:00 03/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [01:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [02:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [03:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [04:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [04:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [04:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [04:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 03/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 03/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 03/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 03/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 03/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [00:00:00 03/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [04:00:00 03/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 03/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 03/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [04:00:00 03/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 03/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [04:00:00 03/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd
t0: [03:35:00 03/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [04:00:00 03/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 20.4082 u1: ml/cmH st: NotStopd t0: [04:00:00 03/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 03/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 03/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 5 u1: lpm st: NotStopd t0: [04:00:00 03/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 03/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.8 st: NotStopd t0: [04:00:00 03/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:00:00 03/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 03/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [04:00:00 03/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 03/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [04:00:00 03/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 03/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 03/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.6 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.7 u1: L/min st: NotStopd t0: [04:00:00 03/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:00:00 03/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.4 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 03/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 2 u1: BPM st: NotStopd t0: [04:00:00 03/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 03/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 03/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [04:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 03/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [04:00:00 03/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 03/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CMV st: NotStopd t0: [04:00:00 03/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:00:00 03/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 03/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [03:35:00 03/04/2015] id: Digoxin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 0.6 u1: ng rs: Final st: NotStopd
t0: [05:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [05:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64.6667 u1: mmHg st: NotStopd t0: [05:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [05:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [05:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [05:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [06:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [06:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [06:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [06:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.6111 u1: Deg. C st: NotStopd t0: [06:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.7 u1: Deg. F st: NotStopd t0: [06:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [06:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [06:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml t0: [06:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [06:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [06:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 03/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [08:00:00 03/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 03/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 03/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 03/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 03/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 03/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [08:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 03/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 03/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 03/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 03/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 03/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 03/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 03/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 03/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 03/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [08:00:00 03/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [08:00:00 03/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 03/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 03/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 03/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 03/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 03/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [08:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 03/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 03/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 03/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [08:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [08:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml t0: [08:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [08:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 03/04/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 03/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd
t0: [08:00:00 03/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 03/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 03/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 03/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 03/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 03/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 03/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 03/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 03/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 03/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 03/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 03/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [08:00:00 03/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 40 vu: ml
t0: [08:00:00 03/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 17.6678 u1: ml/cmH st: NotStopd t0: [08:00:00 03/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 03/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 03/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 5 u1: lpm st: NotStopd t0: [08:00:00 03/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 03/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.8 st: NotStopd t0: [08:00:00 03/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 03/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 03/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 03/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 03/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 03/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 03/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 03/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.4 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.6 u1: L/min st: NotStopd t0: [08:00:00 03/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 03/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 35.8 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.6 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 03/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 2 u1: BPM st: NotStopd t0: [08:00:00 03/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 03/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 03/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 03/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [08:00:00 03/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 03/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 03/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 03/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 03/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
io: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ra: 50 ru: ml/hr
id: Respalor el: 1 cu: MICU-A cg: -1 io: Respalor Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [10:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [10:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [09:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [09:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [09:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [10:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 163 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [10:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [10:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [10:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [09:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml t0: [09:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [10:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 03/04/2015] id: Peptamen Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 75 vu: ml st: Stopped t0: [10:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml nb: 1 t0: [10:00:00 03/04/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vu: ml es: Medium t0: [10:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 165 vu: ml
t0: [09:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 03/04/2015] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [11:00:00 03/04/2015] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 03/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [11:00:00 03/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [11:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [11:00:00 03/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [11:00:00 03/04/2015] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [11:00:00 03/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [11:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
id: Amiodarone el: 100 cu: MICU-A cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [11:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [11:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 03/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 03/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 03/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 03/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [12:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:00:00 03/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [12:00:00 03/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 81.4 u1: kg st: NotStopd t0: [12:00:00 03/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 03/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [12:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [12:00:00 03/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 03/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [11:00:00 03/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [11:00:00 03/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 180 vu: ml t0: [12:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 28 vu: ml t0: [12:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [12:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [12:00:00 03/04/2015] tf: [14:00:00 07/04/2015] dt: 5880 id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 575 vu: ml
t0: [11:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:35:00 03/04/2015] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 169 rs: Final st: NotStopd t0: [03:35:00 03/04/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [12:00:00 03/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 03/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd
t0: [12:00:00 03/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 03/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 03/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 03/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 03/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 03/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 03/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 03/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 03/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 03/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 03/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [13:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [13:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [13:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:45:00 03/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [13:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0 vu: ml nb: 1
t0: [13:00:00 03/04/2015] tf: [10:00:00 06/04/2015] dt: 4140 id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [14:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 89 u1: BPM st: NotStopd t0: [14:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [14:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [14:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [14:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 2 vu: ml t0: [14:00:00 03/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [14:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [14:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [14:00:00 03/04/2015] tf: [10:00:00 06/04/2015] dt: 4080 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 25 vu: ml t0: [14:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [14:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [14:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 135 vu: ml
t0: [14:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:01:00 03/04/2015] id: D5W 125.0ml + 125mghr Diltiazem IV Infusions el: 1 cu: MICU-A cg: -1 ai: 114 vo: 0 st: D/C'd
t0: [14:00:00 03/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 21.2766 u1: ml/cmH st: NotStopd t0: [14:00:00 03/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 03/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 03/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 5 u1: lpm st: NotStopd t0: [14:00:00 03/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [14:00:00 03/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [14:00:00 03/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [14:00:00 03/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [14:00:00 03/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [14:00:00 03/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [14:00:00 03/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12.1 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.4 u1: L/min st: NotStopd t0: [14:00:00 03/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [14:00:00 03/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19.8 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [14:00:00 03/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [14:00:00 03/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [14:00:00 03/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:00:00 03/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 03/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [14:00:00 03/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [14:00:00 03/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [14:00:00 03/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [14:00:00 03/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [14:00:00 03/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 03/04/2015] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [11:00:00 03/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [11:00:00 03/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Culture/remarks st: NotStopd t0: [12:00:00 03/04/2015] id: Spiritual Support el: 0 cu: MICU-A cg: -1 v1: Sacrement/Sick st: NotStopd t0: [12:00:00 03/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [14:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [14:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [15:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [15:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 88 u1: BPM st: NotStopd t0: [15:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [15:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [15:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 03/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 03/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 03/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 03/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 03/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [16:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [16:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 03/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 03/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [16:00:00 03/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 03/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 03/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 03/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [16:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 03/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 03/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 03/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 03/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 03/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 03/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [16:00:00 03/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 03/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 03/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 03/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [16:00:00 03/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 03/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 03/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 03/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 03/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 03/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 03/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [16:00:00 03/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 03/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 03/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 03/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 03/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [16:00:00 03/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Culture/remarks st: NotStopd t0: [16:00:00 03/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 03/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 03/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [16:00:00 03/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 03/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 03/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: BehaviorSubsided st: NotStopd t0: [16:00:00 03/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 03/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 03/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [16:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.9444 u1: Deg. C st: NotStopd t0: [16:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 102.1 u1: Deg. F st: NotStopd t0: [16:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 03/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 03/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [16:00:00 03/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 03/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 03/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 03/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 03/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 03/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 03/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 03/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 03/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 03/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [17:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [17:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [17:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [17:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [17:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [17:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [17:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [17:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 2 vu: ml t0: [16:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [16:00:00 03/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [16:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 50 vu: ml t0: [16:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [16:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [13:00:00 03/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [14:00:00 03/04/2015] id: Diltiazem el: 1 cu: MICU-A so: D5W vo: 0 du: mghr sv: 125 su: ml rt: IV Drip t0: [15:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 280 ap: none
t0: [18:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [18:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [18:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [18:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [18:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [18:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [18:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [18:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [18:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd
t0: [18:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [18:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [18:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 50 vu: ml t0: [18:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml
t0: [23:00:00 03/04/2015] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: carryForward
t0: [18:15:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:15:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:15:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:15:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:15:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 115 u1: BPM st: NotStopd t0: [18:15:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [18:15:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:15:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 56.3333 u1: mmHg st: NotStopd t0: [18:15:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:15:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [18:15:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:15:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [18:15:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:15:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [18:15:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:30:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:30:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:30:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [18:30:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:30:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 115 u1: BPM st: NotStopd t0: [18:30:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [18:30:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:30:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [18:30:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:30:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [18:30:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:30:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [18:30:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:30:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [18:30:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:45:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:45:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:45:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [18:45:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:45:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 141 u1: BPM st: NotStopd t0: [18:45:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [18:45:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:45:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [18:45:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 168 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [18:45:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [18:45:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:45:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [18:45:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 31 u1: BPM st: NotStopd t0: [18:45:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [18:45:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [19:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 135 u1: BPM st: NotStopd t0: [19:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Flutter st: NotStopd t0: [19:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [19:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [19:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 03/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [19:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [19:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [19:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [19:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 03/04/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vu: ml es: Medium t0: [19:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [19:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 25 vu: ml t0: [19:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [19:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [18:15:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:15:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:15:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:15:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:30:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:30:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:30:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:45:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:45:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:45:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 03/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [20:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 03/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 03/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 03/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [20:00:00 03/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [20:00:00 03/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 03/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 88 u1: BPM st: NotStopd t0: [20:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [20:00:00 03/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 03/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 03/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [20:00:00 03/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 03/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [20:00:00 03/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 03/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [20:00:00 03/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [20:00:00 03/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 03/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [20:00:00 03/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 03/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 03/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 03/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 03/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [20:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 03/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [20:00:00 03/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 03/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 03/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 03/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 03/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 03/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 03/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 03/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [20:00:00 03/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [20:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [20:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [20:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [20:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [20:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:49:00 03/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 23.2558 u1: ml/cmH st: NotStopd t0: [19:49:00 03/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [19:49:00 03/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [19:49:00 03/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 5 u1: lpm st: NotStopd t0: [19:49:00 03/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [19:49:00 03/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [19:49:00 03/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [19:49:00 03/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [19:49:00 03/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [19:49:00 03/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [19:49:00 03/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [19:49:00 03/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [19:49:00 03/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12.9 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.7 u1: L/min st: NotStopd t0: [19:49:00 03/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [19:49:00 03/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 24.5 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [19:49:00 03/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 2 u1: BPM st: NotStopd t0: [19:49:00 03/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [19:49:00 03/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [19:49:00 03/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:49:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [19:49:00 03/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [19:49:00 03/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [19:49:00 03/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [19:49:00 03/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [19:49:00 03/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [19:49:00 03/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 03/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Bilious st: NotStopd
t0: [20:00:00 03/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 40 vu: ml
t0: [20:00:00 03/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd
t0: [21:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [21:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [21:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [21:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [21:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [21:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml nb: 1 t0: [21:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [21:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [21:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [21:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [21:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [20:00:00 03/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [20:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [22:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 03/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 03/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 90 u1: BPM st: NotStopd t0: [22:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 03/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 03/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [22:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [22:00:00 03/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [22:00:00 03/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 03/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [22:00:00 03/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [22:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [22:00:00 03/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [22:00:00 03/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 03/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 03/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [22:00:00 03/04/2015] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [22:00:00 03/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 03/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 03/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [22:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [22:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [22:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [22:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [22:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 325 vu: ml
t0: [22:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 03/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.5556 u1: Deg. C st: NotStopd t0: [22:00:00 03/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.4 u1: Deg. F st: NotStopd
t0: [22:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 03/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 03/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 03/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 03/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 03/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [23:00:00 03/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 03/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [23:00:00 03/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.3333 u1: mmHg st: NotStopd t0: [23:00:00 03/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 03/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 03/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 03/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [23:00:00 03/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [23:00:00 03/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [23:00:00 03/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 03/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 03/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [23:00:00 03/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [23:00:00 03/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [23:00:00 03/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 03/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [23:00:00 03/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [23:00:00 03/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 03/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 03/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 03/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 150 cv: 150 ap: none t0: [23:00:00 03/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 150 cv: 2150 ap: none t0: [23:00:00 03/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 150 cv: 2150 ap: carryForward
t0: [20:00:00 03/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Restless st: NotStopd t0: [00:00:00 04/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 04/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 04/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 04/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 04/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 04/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 04/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 04/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [00:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 04/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 04/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 04/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [00:00:00 04/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 04/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [00:00:00 04/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 04/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [00:00:00 04/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 04/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62.3333 u1: mmHg st: NotStopd t0: [00:00:00 04/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 04/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 04/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [00:00:00 04/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 04/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 04/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 04/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 04/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 04/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [00:00:00 04/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [00:00:00 04/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [00:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.1667 u1: Deg. C st: NotStopd t0: [00:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.7 u1: Deg. F st: NotStopd t0: [00:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [00:00:00 04/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 04/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 04/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [00:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [00:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [00:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [00:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 04/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1187.5 ap: none t0: [23:00:00 04/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 100 cv: 1230 ap: none t0: [23:00:00 04/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 100 cv: 1230 ap: none
t0: [23:00:00 03/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml nb: 1 t0: [00:00:00 04/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 4 vu: ml t0: [00:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml nb: 1 t0: [00:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml nb: 1
t0: [23:00:00 04/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 7.5 cv: 7.5 ap: none t0: [23:00:00 04/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 57.5 cv: 2033.18 ap: none t0: [23:00:00 04/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 107.5 cv: 3220.68 ap: none t0: [23:00:00 04/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 7.5 cv: 1990.68 ap: none t0: [23:00:00 04/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 7.5 cv: 16325.9 ap: carryForward
t0: [00:00:00 04/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 33.557 u1: ml/cmH st: NotStopd t0: [00:00:00 04/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 04/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 04/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 04/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 04/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 04/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 04/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [00:00:00 04/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 04/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [00:00:00 04/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 04/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 04/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [00:00:00 04/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.7 u1: cmH2O st: NotStopd t0: [00:00:00 04/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.8 u1: L/min st: NotStopd t0: [00:00:00 04/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 04/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 04/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 22.4 u1: cmH2O st: NotStopd t0: [00:00:00 04/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 20.6 u1: cmH2O st: NotStopd t0: [00:00:00 04/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 04/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 2 u1: BPM st: NotStopd t0: [00:00:00 04/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 04/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 04/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 04/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 04/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 04/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 04/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 04/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 04/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [01:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [01:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66.3333 u1: mmHg st: NotStopd t0: [01:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [01:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [01:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [01:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [01:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [01:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [01:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [02:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [02:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [02:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [02:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [02:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [02:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [02:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [02:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [02:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [02:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [02:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 97 u1: BPM st: NotStopd t0: [03:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [03:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [03:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 81.4 u1: kg st: NotStopd t0: [03:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [03:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [03:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [03:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [03:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [03:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 30.303 u1: ml/cmH st: NotStopd t0: [04:00:00 04/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 04/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 04/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 04/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:00:00 04/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 04/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [04:00:00 04/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 04/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [04:00:00 04/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 04/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [04:00:00 04/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.2 u1: L/min st: NotStopd t0: [04:00:00 04/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:00:00 04/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.3 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 04/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 8 u1: BPM st: NotStopd t0: [04:00:00 04/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:00:00 04/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 04/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 04/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 04/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 04/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 04/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:00:00 04/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 04/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [04:00:00 04/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 04/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [04:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 04/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 04/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 04/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 04/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 04/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 102 u1: BPM st: NotStopd t0: [04:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 04/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [04:00:00 04/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 04/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [04:00:00 04/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 04/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [04:00:00 04/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 04/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [04:00:00 04/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 04/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [04:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.3333 u1: mmHg st: NotStopd t0: [04:00:00 04/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 04/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 04/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 04/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 04/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 04/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 04/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 04/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 04/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 04/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 04/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 04/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 04/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Relative st: NotStopd t0: [04:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [04:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd t0: [04:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 04/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 04/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [04:00:00 04/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [04:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [04:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [04:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [04:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [04:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [04:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [04:00:00 04/04/2015] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: 0 u1: kg st: NotStopd t0: [04:00:00 04/04/2015] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd
t0: [04:25:00 04/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [04:25:00 04/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:25:00 04/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:25:00 04/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [04:25:00 04/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [04:25:00 04/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [04:31:00 04/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.4 rs: Final st: NotStopd t0: [04:31:00 04/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.2 u1: % rs: Final st: NotStopd t0: [04:31:00 04/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [04:31:00 04/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 457 rs: Final st: NotStopd t0: [04:31:00 04/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [04:31:00 04/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.4 rs: Final st: NotStopd
t0: [05:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [05:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [05:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [05:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [05:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 48.6667 u1: mmHg st: NotStopd t0: [05:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [05:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [05:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [05:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [05:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [05:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [05:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [05:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [05:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [05:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:22:00 04/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 60.6 rs: Final st: NotStopd
t0: [04:22:00 04/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:22:00 04/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd
t0: [05:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 04/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [06:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [06:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 55.6667 u1: mmHg st: NotStopd t0: [06:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [06:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [06:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [06:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [06:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [06:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml t0: [06:00:00 04/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [06:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [06:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [06:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [06:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 10 vu: ml
t0: [06:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:45:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:45:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:45:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [06:45:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [06:45:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 47.6667 u1: mmHg st: NotStopd t0: [06:45:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:45:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [06:45:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:45:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [06:45:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [06:45:00 04/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [06:45:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [06:45:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:45:00 04/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 500 vu: ml t0: [06:45:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [06:45:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 10.5 vu: ml t0: [06:45:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [06:45:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 9.375 vu: ml t0: [06:45:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [06:45:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [06:45:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 37.5 vu: ml
t0: [06:45:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:45:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:45:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:45:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 04/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 33.7838 u1: ml/cmH st: NotStopd t0: [08:00:00 04/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 04/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 04/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 04/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 04/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 04/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 04/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 04/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 04/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 04/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 04/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.8 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.42 u1: L/min st: NotStopd t0: [08:00:00 04/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 04/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 22.3 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 18.9 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 04/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 04/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 04/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 04/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 04/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 04/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 04/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 04/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 04/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 04/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 04/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 04/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [07:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [07:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [07:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [07:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 49 u1: mmHg st: NotStopd t0: [07:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [07:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [07:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [07:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 04/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 04/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 04/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 04/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 04/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to RN st: NotStopd t0: [08:00:00 04/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 04/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 04/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [08:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 04/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 04/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 04/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 04/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 04/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 04/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [08:00:00 04/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 04/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 04/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 04/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 04/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 04/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 04/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [08:00:00 04/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 04/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [08:00:00 04/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 04/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 04/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [08:00:00 04/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 04/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 04/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [08:00:00 04/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 04/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 04/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [08:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101 u1: Deg. F st: NotStopd t0: [08:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 04/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 04/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [09:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [09:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 90 u1: BPM st: NotStopd t0: [09:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [09:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 50.3333 u1: mmHg st: NotStopd t0: [09:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [09:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [09:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0.5 vu: ml t0: [08:00:00 04/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [08:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [08:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0.5 vu: ml t0: [08:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [07:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 04/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 04/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 04/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [09:00:00 04/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [09:00:00 04/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [09:00:00 04/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [09:00:00 04/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [09:00:00 04/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [09:00:00 04/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [09:00:00 04/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [09:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [09:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0.5 vu: ml t0: [09:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 85 vu: ml
t0: [10:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [10:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [10:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 50 u1: mmHg st: NotStopd t0: [10:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [10:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [10:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [10:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [10:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.0556 u1: Deg. C st: NotStopd t0: [10:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.5 u1: Deg. F st: NotStopd t0: [10:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [10:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [10:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0.5 vu: ml t0: [10:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [10:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Poor st: NotStopd t0: [10:00:00 04/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [10:30:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:30:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 135 u1: BPM st: NotStopd t0: [10:30:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:30:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:30:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 58.6667 u1: mmHg st: NotStopd t0: [10:30:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:30:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 48 u1: mmHg st: NotStopd t0: [10:30:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:30:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [10:30:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:30:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [10:30:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [10:30:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:30:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:30:00 04/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd
t0: [10:00:00 04/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [10:00:00 04/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [11:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 137 u1: BPM st: NotStopd t0: [11:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [11:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [11:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 04/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 04/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [11:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 04/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 04/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 04/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [12:00:00 04/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 04/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 04/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 04/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 04/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [12:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 04/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 04/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 04/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 04/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 04/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 04/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [12:00:00 04/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 04/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 04/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 04/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 04/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 04/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 04/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [12:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 55.6667 u1: mmHg st: NotStopd t0: [12:00:00 04/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 04/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [12:00:00 04/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 45 u1: mmHg st: NotStopd t0: [12:00:00 04/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [12:00:00 04/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 04/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 04/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [12:00:00 04/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 04/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 04/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [12:00:00 04/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [12:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [12:00:00 04/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 04/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 04/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 04/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 04/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 04/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 04/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 04/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [12:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [12:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml st: Restart t0: [12:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [12:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [12:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [11:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 04/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [13:00:00 04/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd
id: Vasopressin el: 100 cu: MICU-A cg: -1 io: D5W 250.0ml + 100Umin Vasopressin IV Infusions am: 100 du: Umin rt: IV Drip
io: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: MICU-A cg: -1 ra: 6 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 100Umin Vasopressin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [13:00:00 04/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 32.4675 u1: ml/cmH st: NotStopd t0: [13:00:00 04/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [13:00:00 04/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 04/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [13:00:00 04/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [13:00:00 04/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 04/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [13:00:00 04/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [13:00:00 04/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [13:00:00 04/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.3 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 14.9 u1: L/min st: NotStopd t0: [13:00:00 04/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [13:00:00 04/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 22.9 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.3 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [13:00:00 04/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 5 u1: BPM st: NotStopd t0: [13:00:00 04/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 04/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 04/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 04/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [13:00:00 04/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 04/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [13:00:00 04/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 04/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [13:00:00 04/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [13:00:00 04/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [13:00:00 04/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 04/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [13:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [13:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 93 u1: BPM st: NotStopd t0: [13:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [13:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [13:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.6667 u1: mmHg st: NotStopd t0: [13:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [13:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 49 u1: mmHg st: NotStopd t0: [13:00:00 04/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [13:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 15 vu: ml t0: [13:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [13:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [13:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 04/04/2015] tf: [15:00:00 04/04/2015] dt: 120 id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 113 vo: 6 vu: ml t0: [13:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [13:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/04/2015] tf: [15:00:00 04/04/2015] dt: 120 id: Vasopressin el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [14:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [14:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 95 u1: BPM st: NotStopd t0: [14:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [14:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [14:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [14:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 14 vu: ml t0: [14:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [14:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 04/04/2015] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 113 vo: 6 vu: ml t0: [14:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [14:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/04/2015] id: Vasopressin el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.04 du: Umin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 04/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [14:30:00 04/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [14:30:00 04/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [14:30:00 04/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [14:30:00 04/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [14:30:00 04/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
id: Levophed el: 100 cu: MICU-A cg: -1 io: D5W 250.0ml + 8mcgmin Levophed IV Infusions am: 8 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ra: 3.75 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 8mcgmin Levophed IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [15:03:00 04/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [15:03:00 04/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [15:03:00 04/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [15:03:00 04/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [15:03:00 04/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [15:03:00 04/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [14:00:00 04/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Blood Cultured st: NotStopd t0: [14:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [14:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 39 u1: Deg. C st: NotStopd t0: [14:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 102.2 u1: Deg. F st: NotStopd t0: [15:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 80 u1: BPM st: NotStopd t0: [15:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 52.6667 u1: mmHg st: NotStopd t0: [15:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [15:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 48 u1: mmHg st: NotStopd t0: [15:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [15:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 90 u1: % st: NotStopd t0: [15:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/04/2015] tf: [17:00:00 05/04/2015] dt: 1560 id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/04/2015] id: Vasopressin el: 1 cu: MICU-A so: D5W vo: 0 du: Umin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [12:00:00 04/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [15:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 04/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 04/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 04/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 04/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 04/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 04/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 04/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 104 u1: BPM st: NotStopd t0: [16:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [16:00:00 04/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 04/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 04/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [16:00:00 04/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 04/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 04/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 04/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [16:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [16:00:00 04/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Loose Teeth st: NotStopd t0: [16:00:00 04/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 04/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [16:00:00 04/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 04/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [16:00:00 04/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 04/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 04/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [16:00:00 04/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 04/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 04/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [16:00:00 04/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 04/04/2015] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.0556 u1: Deg. C st: NotStopd t0: [16:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 100.5 u1: Deg. F st: NotStopd t0: [16:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 04/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 04/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 04/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 04/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 04/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 04/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 04/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 04/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 04/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [15:00:00 04/04/2015] tf: [06:00:00 08/04/2015] dt: 5220 id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 3.8 vu: ml t0: [15:00:00 04/04/2015] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 113 vu: ml st: Stopped t0: [15:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml t0: [16:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [16:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 25 vu: ml t0: [16:00:00 04/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 7.5 vu: ml t0: [16:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml
t0: [16:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:45:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:45:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:45:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 107 u1: BPM st: NotStopd t0: [15:45:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [15:45:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 51.3333 u1: mmHg st: NotStopd t0: [15:45:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:45:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [15:45:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:45:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [15:45:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:45:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [15:45:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd
t0: [15:45:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:45:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 1.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:45:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:45:00 04/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [15:00:00 04/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd
t0: [16:48:00 04/04/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [16:48:00 04/04/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [16:48:00 04/04/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [16:48:00 04/04/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [16:48:00 04/04/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [16:48:00 04/04/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [16:48:00 04/04/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:48:00 04/04/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [16:48:00 04/04/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [16:48:00 04/04/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:48:00 04/04/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:48:00 04/04/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:48:00 04/04/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [11:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:04:00 04/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [17:04:00 04/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:04:00 04/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [17:04:00 04/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [17:04:00 04/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [17:04:00 04/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [17:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [17:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [17:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 53.3333 u1: mmHg st: NotStopd t0: [17:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [17:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [17:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [17:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [17:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [18:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [18:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [18:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [18:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [18:00:00 04/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: EKG st: NotStopd t0: [18:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [18:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 28 vu: ml t0: [18:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 25 vu: ml t0: [18:00:00 04/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 15 vu: ml t0: [18:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml
t0: [18:00:00 04/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 29.9401 u1: ml/cmH st: NotStopd t0: [18:00:00 04/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [18:00:00 04/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [18:00:00 04/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [18:00:00 04/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [18:00:00 04/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [18:00:00 04/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [18:00:00 04/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [18:00:00 04/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [18:00:00 04/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [18:00:00 04/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 04/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [18:00:00 04/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [18:00:00 04/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.3 u1: cmH2O st: NotStopd t0: [18:00:00 04/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.4 u1: L/min st: NotStopd t0: [18:00:00 04/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [18:00:00 04/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [18:00:00 04/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24.2 u1: cmH2O st: NotStopd t0: [18:00:00 04/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19.6 u1: cmH2O st: NotStopd t0: [18:00:00 04/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [18:00:00 04/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [18:00:00 04/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [18:00:00 04/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [18:00:00 04/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 04/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [18:00:00 04/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 04/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [18:00:00 04/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [18:00:00 04/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [18:00:00 04/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [20:00:00 04/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 04/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 04/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [20:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 04/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 04/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 04/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [20:00:00 04/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 04/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [20:00:00 04/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [20:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 04/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [20:00:00 04/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 04/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 04/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 04/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 28 vu: ml t0: [20:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [20:00:00 04/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 15 vu: ml t0: [20:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [20:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 04/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd
t0: [20:24:00 04/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.4215 u1: ml/cmH st: NotStopd t0: [20:24:00 04/04/2015] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:24:00 04/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:24:00 04/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:24:00 04/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.3 st: NotStopd t0: [20:24:00 04/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:24:00 04/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:24:00 04/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:24:00 04/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:24:00 04/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [20:24:00 04/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:24:00 04/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:24:00 04/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.7 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.3 u1: L/min st: NotStopd t0: [20:24:00 04/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 80 u1: L/m st: NotStopd t0: [20:24:00 04/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29.8 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:24:00 04/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [20:24:00 04/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:24:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [20:24:00 04/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thin st: NotStopd t0: [20:24:00 04/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:24:00 04/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:24:00 04/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:24:00 04/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:24:00 04/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:24:00 04/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:24:00 04/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [21:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [21:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [21:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [21:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 04/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 04/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [21:00:00 04/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [22:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [22:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [22:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [22:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 28 vu: ml t0: [22:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [22:00:00 04/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 14.5 vu: ml t0: [22:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml
t0: [22:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 04/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [22:00:00 04/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 04/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [22:00:00 04/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 04/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 04/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 04/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 04/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:00:00 04/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Loose Teeth st: NotStopd t0: [22:00:00 04/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 04/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 04/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 04/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 04/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 04/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 04/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 04/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [23:00:00 04/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 04/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:00:00 04/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 04/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 04/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 04/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [23:00:00 04/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [23:00:00 04/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 04/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 04/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 04/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [23:00:00 04/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 04/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 04/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [23:00:00 04/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 04/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 04/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 04/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 04/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 04/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 04/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 04/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 04/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:24:00 05/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.178 u1: ml/cmH st: NotStopd t0: [00:24:00 05/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:24:00 05/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:24:00 05/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:24:00 05/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:24:00 05/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [00:24:00 05/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:24:00 05/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:24:00 05/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:24:00 05/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:24:00 05/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [00:24:00 05/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:24:00 05/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:24:00 05/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:24:00 05/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.1 u1: cmH2O st: NotStopd t0: [00:24:00 05/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 16.3 u1: L/min st: NotStopd t0: [00:24:00 05/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:24:00 05/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 100 u1: L/m st: NotStopd t0: [00:24:00 05/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26.6 u1: cmH2O st: NotStopd t0: [00:24:00 05/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25.4 u1: cmH2O st: NotStopd t0: [00:24:00 05/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:24:00 05/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:24:00 05/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:24:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [00:24:00 05/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thin st: NotStopd t0: [00:24:00 05/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:24:00 05/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [00:24:00 05/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:24:00 05/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:24:00 05/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:24:00 05/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:24:00 05/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [00:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 05/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 05/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [00:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [00:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [00:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [00:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [01:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [01:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [00:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [00:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [01:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [01:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 05/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [01:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [02:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 05/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [02:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [02:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [02:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [01:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [03:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 05/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 05/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [03:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [03:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [03:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [03:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [03:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [03:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 04/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 04/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 04/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 04/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 04/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 04/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 04/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 04/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 05/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 05/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 05/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 05/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 05/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 05/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [00:00:00 05/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 05/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 05/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 05/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 05/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 05/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 05/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 05/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 05/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 05/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 05/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 05/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [02:00:00 05/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 05/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [02:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 05/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 05/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 05/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 05/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 05/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 05/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 05/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 05/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 05/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 05/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 05/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 05/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 05/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 05/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 05/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 05/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 05/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 05/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 05/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [04:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 05/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 05/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 05/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [04:00:00 05/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 05/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [04:00:00 05/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 05/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [04:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [04:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [04:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [04:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [04:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [04:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:45:00 05/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 24.0385 u1: ml/cmH st: NotStopd t0: [04:45:00 05/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:45:00 05/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:45:00 05/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:45:00 05/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:45:00 05/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.4 st: NotStopd t0: [04:45:00 05/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [04:45:00 05/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:45:00 05/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:45:00 05/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [04:45:00 05/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [04:45:00 05/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:45:00 05/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:45:00 05/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:45:00 05/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.3 u1: cmH2O st: NotStopd t0: [04:45:00 05/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [04:45:00 05/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:45:00 05/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 100 u1: L/m st: NotStopd t0: [04:45:00 05/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28.3 u1: cmH2O st: NotStopd t0: [04:45:00 05/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25.5 u1: cmH2O st: NotStopd t0: [04:45:00 05/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:45:00 05/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:45:00 05/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:45:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [04:45:00 05/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [04:45:00 05/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:45:00 05/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:45:00 05/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [04:45:00 05/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:45:00 05/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:39:00 05/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [05:39:00 05/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [05:39:00 05/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [05:39:00 05/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [05:39:00 05/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [05:39:00 05/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [05:39:00 05/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [05:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [05:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [05:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [06:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [06:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [06:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [05:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [05:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [06:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 14 vu: ml t0: [06:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 7 vu: ml t0: [06:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [05:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.73333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:24:00 04/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:24:00 04/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:24:00 05/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 7 u1: BPM st: NotStopd t0: [00:24:00 05/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:45:00 05/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [04:45:00 05/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd
t0: [07:00:00 05/04/2015] id: D5W 250.0ml + 100Umin Vasopressin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 113 vo: 0 st: D/C'd
t0: [06:19:00 05/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.4 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 51.9 rs: Final st: NotStopd
t0: [06:19:00 05/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.1 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.7 u1: % rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 670 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.74 u1: /mic l rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.1 rs: Final st: NotStopd
t0: [06:19:00 05/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 157 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 161 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [06:19:00 05/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [06:19:00 05/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd
t0: [07:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [07:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [07:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [07:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [07:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 35.2778 u1: Deg. C st: NotStopd t0: [07:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 95.5 u1: Deg. F st: NotStopd t0: [07:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 05/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 05/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 05/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to RN st: NotStopd t0: [08:00:00 05/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 05/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 05/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 05/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 05/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 05/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 05/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 05/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [08:00:00 05/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 05/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 05/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 05/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 05/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 05/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 05/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 05/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 05/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 05/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 05/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 05/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:00:00 05/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 05/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 05/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 05/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 05/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 05/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 05/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 05/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 05/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 05/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [08:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 29.5 vu: ml t0: [08:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 25 vu: ml t0: [08:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 13 vu: ml t0: [08:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [08:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [07:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 05/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 32.6797 u1: ml/cmH st: NotStopd t0: [08:00:00 05/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 05/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 05/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 05/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 05/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 05/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 05/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 05/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 05/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 05/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 05/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 05/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 05/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [08:00:00 05/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.4 u1: L/min st: NotStopd t0: [08:00:00 05/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 05/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 100 u1: L/m st: NotStopd t0: [08:00:00 05/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 22.8 u1: cmH2O st: NotStopd t0: [08:00:00 05/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 18.6 u1: cmH2O st: NotStopd t0: [08:00:00 05/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 05/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 5 u1: BPM st: NotStopd t0: [08:00:00 05/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 05/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 05/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 05/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [08:00:00 05/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 05/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 05/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 05/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 05/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [06:19:00 05/04/2015] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd
t0: [08:00:00 05/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [08:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 05/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [08:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [08:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 05/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 05/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [09:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [09:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [09:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [09:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [09:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [09:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml t0: [09:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 15.5 vu: ml t0: [09:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [09:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 6 vu: ml t0: [09:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [08:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 30 ap: none
t0: [10:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 05/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [10:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [10:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 05/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [10:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [10:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [10:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [10:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [10:00:00 05/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd t0: [10:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [10:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [10:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [10:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [10:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 15.5 vu: ml t0: [10:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [10:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 6 vu: ml t0: [10:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [10:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:31:00 05/04/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [10:31:00 05/04/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [10:31:00 05/04/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [10:31:00 05/04/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [10:31:00 05/04/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [10:31:00 05/04/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [10:31:00 05/04/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [10:31:00 05/04/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [10:31:00 05/04/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [10:31:00 05/04/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [10:31:00 05/04/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [10:31:00 05/04/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [10:31:00 05/04/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [11:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 58 u1: BPM st: NotStopd t0: [11:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [11:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [11:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [11:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [11:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [11:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [11:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 15.5 vu: ml t0: [11:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [11:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 4 vu: ml t0: [11:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 65 vu: ml
t0: [11:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.13333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 05/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 05/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 05/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 05/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 05/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 05/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [12:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 05/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 05/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 05/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 05/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 05/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [12:00:00 05/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 05/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 05/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 05/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 05/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 05/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 05/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 05/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 05/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 05/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [12:00:00 05/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 05/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 05/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [12:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 05/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 05/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 05/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [12:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 15.5 vu: ml t0: [12:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [12:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 4 vu: ml t0: [12:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [12:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.13333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 05/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 05/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 05/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 05/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 05/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [12:00:00 05/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 05/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 05/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 05/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.4725 u1: ml/cmH st: NotStopd t0: [12:00:00 05/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 05/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 05/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 05/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:00:00 05/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [12:00:00 05/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 05/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [12:00:00 05/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:00:00 05/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [12:00:00 05/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 05/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:00:00 05/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [12:00:00 05/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 13.3 u1: cmH2O st: NotStopd t0: [12:00:00 05/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 17.9 u1: L/min st: NotStopd t0: [12:00:00 05/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [12:00:00 05/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 100 u1: L/m st: NotStopd t0: [12:00:00 05/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 25.7 u1: cmH2O st: NotStopd t0: [12:00:00 05/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19.2 u1: cmH2O st: NotStopd t0: [12:00:00 05/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 05/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 9 u1: BPM st: NotStopd t0: [12:00:00 05/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [12:00:00 05/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 05/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 05/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 05/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 05/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [12:00:00 05/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 05/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 05/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [12:00:00 05/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 05/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:30:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 05/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [13:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [13:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [13:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [13:00:00 05/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [13:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [13:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [13:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [13:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 05/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 186 rs: Manual st: NotStopd t0: [14:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Family at Bedsid st: NotStopd t0: [14:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [13:00:00 05/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 250 vu: ml t0: [13:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 15.5 vu: ml t0: [13:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [13:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 4.5 vu: ml t0: [13:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [13:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 05/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [14:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [14:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 05/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [14:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [14:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [14:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [14:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [14:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [14:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [14:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [14:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [14:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 05/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [15:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 05/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [15:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [15:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 05/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [15:00:00 05/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:00:00 05/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [15:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 05/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [15:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [15:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 34 u1: BPM st: NotStopd t0: [15:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [15:00:00 05/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [15:00:00 05/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 05/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [15:00:00 05/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [15:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [15:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 31 vu: ml t0: [15:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [15:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 25 vu: ml t0: [15:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 10 vu: ml t0: [15:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [15:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [15:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [15:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [14:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.13333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Family at Bedsid st: NotStopd t0: [16:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 05/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 05/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 05/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 05/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [16:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 05/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 05/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 05/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 05/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 05/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 05/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 05/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 05/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [16:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 05/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [16:00:00 05/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 05/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 05/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 05/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [16:00:00 05/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 05/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 05/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 05/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 05/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 05/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: No Apparent Prob st: NotStopd t0: [16:00:00 05/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 05/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [16:00:00 05/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 05/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 05/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 15.5 vu: ml t0: [16:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [16:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 4 vu: ml t0: [16:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [16:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 1.6 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 05/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.8471 u1: ml/cmH st: NotStopd t0: [17:00:00 05/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [17:00:00 05/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 05/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 05/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [17:00:00 05/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:3.4 st: NotStopd t0: [17:00:00 05/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [17:00:00 05/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [17:00:00 05/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [17:00:00 05/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [17:00:00 05/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [17:00:00 05/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 05/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [17:00:00 05/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [17:00:00 05/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.6 u1: cmH2O st: NotStopd t0: [17:00:00 05/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 14.3 u1: L/min st: NotStopd t0: [17:00:00 05/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [17:00:00 05/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 100 u1: L/m st: NotStopd t0: [17:00:00 05/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 23.2 u1: cmH2O st: NotStopd t0: [17:00:00 05/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.8 u1: cmH2O st: NotStopd t0: [17:00:00 05/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [17:00:00 05/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 7 u1: BPM st: NotStopd t0: [17:00:00 05/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 05/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 05/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [17:00:00 05/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [17:00:00 05/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 05/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [17:00:00 05/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 05/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [17:00:00 05/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [17:00:00 05/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [17:00:00 05/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [16:00:00 05/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 05/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 05/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 05/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 05/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 05/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 05/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [16:00:00 05/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 05/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [17:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [17:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [17:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 05/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 05/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [18:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [18:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 05/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [18:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 05/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [18:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [18:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [18:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 82.8 u1: kg st: NotStopd t0: [18:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [18:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [18:00:00 05/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [18:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [18:00:00 05/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 166 rs: Manual st: NotStopd
t0: [17:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 15.5 vu: ml t0: [17:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [17:00:00 05/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 3 vu: ml t0: [17:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [17:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 05/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [18:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [20:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 46.5 vu: ml t0: [20:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [20:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 37.5 vu: ml t0: [20:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [20:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [20:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [20:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [20:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [18:30:00 05/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [18:30:00 05/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [18:30:00 05/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 72.2 rs: Final st: NotStopd
t0: [21:23:00 05/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25.9067 u1: ml/cmH st: NotStopd t0: [21:23:00 05/04/2015] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [21:23:00 05/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:23:00 05/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [21:23:00 05/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [21:23:00 05/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [21:23:00 05/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:23:00 05/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [21:23:00 05/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [21:23:00 05/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [21:23:00 05/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [21:23:00 05/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [21:23:00 05/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.3 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 16.7 u1: L/min st: NotStopd t0: [21:23:00 05/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 100 u1: L/m st: NotStopd t0: [21:23:00 05/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26.8 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:23:00 05/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:23:00 05/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [21:23:00 05/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:23:00 05/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:23:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [21:23:00 05/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [21:23:00 05/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:23:00 05/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [21:23:00 05/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:23:00 05/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:23:00 05/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [21:23:00 05/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:23:00 05/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [21:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [21:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [21:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [21:00:00 05/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 05/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [21:00:00 05/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [21:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [21:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [22:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [21:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [22:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [22:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 05/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 05/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [23:00:00 05/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 05/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 05/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [23:00:00 05/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 05/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [23:00:00 05/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 05/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [23:00:00 05/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 05/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 05/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 05/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 05/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 05/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [22:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 05/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 05/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 75 cv: 75 ap: none t0: [23:00:00 05/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1200 ap: none t0: [23:00:00 05/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 75 cv: 1040 ap: none t0: [23:00:00 05/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 75 cv: 1040 ap: none
t0: [23:00:00 05/04/2015] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [23:00:00 05/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml
t0: [23:00:00 05/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 277 cv: 277 ap: none t0: [23:00:00 05/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 302 cv: 1889.5 ap: none t0: [23:00:00 05/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 352 cv: 3119.5 ap: none t0: [23:00:00 05/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 277 cv: 2079.5 ap: none t0: [23:00:00 05/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 277 cv: 18405.4 ap: carryForward
t0: [23:38:00 05/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [23:38:00 05/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 14.1874 u1: ml/dl st: NotStopd t0: [23:38:00 05/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [23:38:00 05/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [23:38:00 05/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [23:38:00 05/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [23:38:00 05/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [23:38:00 05/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 159 rs: Final st: NotStopd t0: [23:38:00 05/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 91 u1: % rs: Final st: NotStopd
t0: [23:44:00 05/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [00:35:00 06/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [00:35:00 06/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:35:00 06/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:35:00 06/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:35:00 06/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:35:00 06/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3 st: NotStopd t0: [00:35:00 06/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:35:00 06/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:35:00 06/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:35:00 06/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:35:00 06/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [00:35:00 06/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:35:00 06/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:35:00 06/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:35:00 06/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.7 u1: cmH2O st: NotStopd t0: [00:35:00 06/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.3 u1: L/min st: NotStopd t0: [00:35:00 06/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:35:00 06/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 100 u1: L/m st: NotStopd t0: [00:35:00 06/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:35:00 06/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26.5 u1: cmH2O st: NotStopd t0: [00:35:00 06/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:35:00 06/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:35:00 06/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:35:00 06/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:35:00 06/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:35:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [00:35:00 06/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [00:35:00 06/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:35:00 06/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:35:00 06/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:35:00 06/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:35:00 06/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [00:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [00:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [01:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [01:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [02:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [02:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [02:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [00:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [01:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [02:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [00:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [03:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 82.8 u1: kg st: NotStopd t0: [03:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 06/04/2015] tf: [15:30:00 07/04/2015] dt: 2370 id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.1 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.06667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.06667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.06667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 06/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 06/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd
t0: [03:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [03:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [03:00:00 06/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
t0: [00:00:00 06/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 06/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 06/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 06/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 06/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 06/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 06/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [04:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [04:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.06667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 06/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [04:30:00 06/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:30:00 06/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:30:00 06/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:30:00 06/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:30:00 06/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [04:30:00 06/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [04:30:00 06/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 06/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [04:30:00 06/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [04:30:00 06/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [04:30:00 06/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:30:00 06/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:30:00 06/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: cmH2O st: NotStopd t0: [04:30:00 06/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 20.9 u1: L/min st: NotStopd t0: [04:30:00 06/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:30:00 06/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 100 u1: L/m st: NotStopd t0: [04:30:00 06/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:30:00 06/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21.5 u1: cmH2O st: NotStopd t0: [04:30:00 06/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:30:00 06/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:30:00 06/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:30:00 06/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:30:00 06/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [04:30:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [04:30:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:30:00 06/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [04:30:00 06/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:30:00 06/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 06/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [04:30:00 06/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:30:00 06/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 05/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 05/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 05/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 05/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 05/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 05/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 05/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [20:00:00 05/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 05/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [20:00:00 05/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 05/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 05/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 05/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 05/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [20:00:00 05/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 05/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 05/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 05/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 05/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 05/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 05/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 05/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [22:00:00 05/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [22:00:00 05/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 05/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 05/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 05/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [22:00:00 05/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 05/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [22:00:00 05/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 05/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 06/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 06/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 06/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 06/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 06/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 06/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 06/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 06/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [00:00:00 06/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 06/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 06/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 06/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 06/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [00:00:00 06/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 06/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 06/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 06/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 06/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 06/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 06/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [00:00:00 06/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 06/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 06/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 06/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 06/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [02:00:00 06/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 06/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [02:00:00 06/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 06/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 06/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 06/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 06/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 06/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 06/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [04:00:00 06/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 06/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [04:00:00 06/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 06/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 06/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 06/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Thrush st: NotStopd t0: [04:00:00 06/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 06/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 06/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 06/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 06/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [05:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 06/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [05:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [05:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [05:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [23:00:00 05/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 05/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.06667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [05:16:00 06/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:16:00 06/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 15.1678 u1: ml/dl st: NotStopd t0: [05:16:00 06/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [05:16:00 06/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [05:16:00 06/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [05:16:00 06/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [05:16:00 06/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:16:00 06/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 184 rs: Final st: NotStopd t0: [05:16:00 06/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [05:20:00 06/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 20.5 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.8 u1: % rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 464 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.32 u1: /mic l rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 20.5 rs: Final st: NotStopd
t0: [06:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [06:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [06:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [06:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 15.5 vu: ml t0: [06:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [06:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [06:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 95 vu: ml
t0: [06:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.06667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [05:20:00 06/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 48 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 175 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:20:00 06/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:20:00 06/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd
t0: [05:20:00 06/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd
t0: [07:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [07:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [07:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [07:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 06/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 06/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 06/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 06/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 06/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 06/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 06/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 06/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 06/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 06/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [08:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [08:00:00 06/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 06/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 06/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 06/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 06/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 06/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 06/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 06/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 06/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 06/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 06/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 06/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [08:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 06/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 06/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 06/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 06/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [08:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 06/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 06/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 06/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 06/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 06/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 06/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 06/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 06/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 06/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 06/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 06/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 06/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 06/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [08:00:00 06/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 06/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [00:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vu: ml st: Restart t0: [07:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 3.8 vu: ml t0: [08:00:00 06/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [08:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 31 vu: ml t0: [08:00:00 06/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml t0: [08:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [08:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 25 vu: ml t0: [08:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 3.8 vu: ml t0: [08:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [08:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [08:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [08:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:15:00 06/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 50 u1: ml/cmH st: NotStopd t0: [08:15:00 06/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [08:15:00 06/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [08:15:00 06/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 40 u1: BPM st: NotStopd t0: [08:15:00 06/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RT v1: 2.2 st: NotStopd t0: [08:15:00 06/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [08:15:00 06/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 8 st: NotStopd t0: [08:15:00 06/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:15:00 06/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [08:15:00 06/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 11.6 u1: cmH2O st: NotStopd t0: [08:15:00 06/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 15.9 u1: L/min st: NotStopd t0: [08:15:00 06/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:15:00 06/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 90 u1: L/m st: NotStopd t0: [08:15:00 06/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [08:15:00 06/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [08:15:00 06/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 10 u1: BPM st: NotStopd t0: [08:15:00 06/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 28 u1: BPM st: NotStopd t0: [08:15:00 06/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 18 u1: BPM st: NotStopd t0: [08:15:00 06/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [08:15:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 93 u1: % st: NotStopd t0: [08:15:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: White st: NotStopd t0: [08:15:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Scant st: NotStopd t0: [08:15:00 06/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 590 u1: ml/B st: NotStopd t0: [08:15:00 06/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 500 u1: ml/B st: NotStopd t0: [08:15:00 06/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [08:15:00 06/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [08:15:00 06/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [08:15:00 06/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [09:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [09:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 06/04/2015] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [09:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [09:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [09:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:35:00 06/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 26 u1: BPM st: NotStopd
t0: [10:00:00 06/04/2015] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [10:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [10:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [10:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 12.5 vu: ml t0: [10:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 31 vu: ml t0: [10:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [10:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vu: ml st: Stopped t0: [10:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 7.5 vu: ml t0: [10:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [10:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml
t0: [10:00:00 06/04/2015] id: Amiodarone el: 1 cu: MICU-A so: D5W vo: 0 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [10:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [10:45:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:45:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:45:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [10:45:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:45:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [10:45:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:45:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:45:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [10:45:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:45:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:45:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:45:00 06/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:45:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 06/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [11:00:00 06/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [11:00:00 06/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [11:00:00 06/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [11:00:00 06/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [11:00:00 06/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [12:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 0 st: D/C'd t0: [12:00:00 06/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [11:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [11:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [11:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [11:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:00:00 06/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [11:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 06/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [11:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 06/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 06/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 06/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 06/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 06/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 06/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 06/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 06/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [12:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [12:00:00 06/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 06/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 06/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 06/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 06/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 06/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 06/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 06/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 06/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 06/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 06/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 06/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 06/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 06/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [12:00:00 06/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 06/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 35.8889 u1: Deg. C st: NotStopd t0: [12:00:00 06/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.6 u1: Deg. F st: NotStopd t0: [12:00:00 06/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 06/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 166 rs: Manual st: NotStopd t0: [12:00:00 06/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 06/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 06/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 06/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 06/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [12:00:00 06/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 06/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 06/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [11:00:00 06/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vu: ml st: Stopped t0: [12:00:00 06/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [12:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [12:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 9.58438 vu: ml t0: [12:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [12:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml
t0: [11:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.98667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 06/04/2015] id: Heparin el: 1 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [13:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [13:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 152 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [13:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [13:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [13:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 32 u1: BPM st: NotStopd t0: [13:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [13:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [13:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 5.625 vu: ml t0: [13:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [13:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [14:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [14:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 90 u1: % st: NotStopd t0: [14:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 06/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd
t0: [14:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.5 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 06/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [14:00:00 06/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 06/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [14:00:00 06/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [14:00:00 06/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 40 u1: BPM st: NotStopd t0: [14:00:00 06/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [14:00:00 06/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [14:00:00 06/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [14:00:00 06/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [14:00:00 06/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 8 st: NotStopd t0: [14:00:00 06/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 06/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [14:00:00 06/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 13.5 u1: cmH2O st: NotStopd t0: [14:00:00 06/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 17.8 u1: L/min st: NotStopd t0: [14:00:00 06/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 06/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 90 u1: L/m st: NotStopd t0: [14:00:00 06/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 24 u1: cmH2O st: NotStopd t0: [14:00:00 06/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [14:00:00 06/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 4 u1: BPM st: NotStopd t0: [14:00:00 06/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 30 u1: BPM st: NotStopd t0: [14:00:00 06/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 26 u1: BPM st: NotStopd t0: [14:00:00 06/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 06/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 580 u1: ml/B st: NotStopd t0: [14:00:00 06/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 500 u1: ml/B st: NotStopd t0: [14:00:00 06/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [14:00:00 06/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [14:00:00 06/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [14:00:00 06/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [14:00:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [14:00:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [15:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [15:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [15:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 168 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [15:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [15:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [15:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [15:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 9.375 vu: ml t0: [15:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [15:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [15:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [15:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [15:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 06/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 06/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 06/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 06/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 06/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 06/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 06/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [16:00:00 06/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [16:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [16:00:00 06/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 06/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 06/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 06/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 06/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 06/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 06/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 06/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 06/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 06/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 06/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 06/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 06/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 06/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [16:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 06/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [16:00:00 06/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 06/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:00:00 06/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.7 u1: Deg. F st: NotStopd t0: [16:00:00 06/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 06/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 06/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 06/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 06/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 06/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [16:00:00 06/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 06/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 06/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 06/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [17:00:00 06/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [17:00:00 06/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 06/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 06/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 06/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RT v1: 2.6 st: NotStopd t0: [17:00:00 06/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [17:00:00 06/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [17:00:00 06/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [17:00:00 06/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [17:00:00 06/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 8 st: NotStopd t0: [17:00:00 06/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 06/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [17:00:00 06/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [17:00:00 06/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 17 u1: cmH2O st: NotStopd t0: [17:00:00 06/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 15 u1: L/min st: NotStopd t0: [17:00:00 06/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 06/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RT v1: 90 u1: L/m st: NotStopd t0: [17:00:00 06/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 32 u1: cmH2O st: NotStopd t0: [17:00:00 06/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 30 u1: cmH2O st: NotStopd t0: [17:00:00 06/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RT v1: Yes st: NotStopd t0: [17:00:00 06/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 06/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 26 u1: BPM st: NotStopd t0: [17:00:00 06/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 26 u1: BPM st: NotStopd t0: [17:00:00 06/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 92 u1: % st: NotStopd t0: [17:00:00 06/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 580 u1: ml/B st: NotStopd t0: [17:00:00 06/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 06/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [17:00:00 06/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [17:00:00 06/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [17:00:00 06/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [17:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [17:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [17:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:00:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [17:00:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [18:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [18:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [18:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [18:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [18:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [18:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [18:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [17:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [17:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 7.5 vu: ml t0: [17:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [17:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [17:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [18:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 3.75 vu: ml t0: [18:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [17:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [19:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [19:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [19:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [19:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 3.75 vu: ml t0: [19:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [19:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [19:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 34 vu: ml
t0: [19:58:00 06/04/2015] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [19:58:00 06/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [19:58:00 06/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [19:58:00 06/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [19:58:00 06/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:58:00 06/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [19:58:00 06/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [19:58:00 06/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [19:58:00 06/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [19:58:00 06/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [19:58:00 06/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [19:58:00 06/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [19:58:00 06/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:58:00 06/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [19:58:00 06/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [19:58:00 06/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.4 u1: cmH2O st: NotStopd t0: [19:58:00 06/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [19:58:00 06/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:58:00 06/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [19:58:00 06/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 20 u1: . st: NotStopd t0: [19:58:00 06/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [19:58:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [19:58:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Brown v2: Thick st: NotStopd t0: [19:58:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [19:58:00 06/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [19:58:00 06/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [19:58:00 06/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [19:58:00 06/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 06/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 06/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 06/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 06/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 06/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [20:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [20:00:00 06/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 06/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 06/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 06/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 06/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 06/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 06/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 06/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [20:00:00 06/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [20:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 06/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 06/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 06/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 06/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 06/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 06/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 06/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 06/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 06/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 06/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [20:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 3 vu: ml t0: [20:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [20:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [20:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.6 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 06/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd
t0: [21:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [21:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 06/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [21:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [21:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 5 vu: ml t0: [21:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [21:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 32 vu: ml
t0: [21:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:09:00 06/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [21:09:00 06/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [21:09:00 06/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [21:09:00 06/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [21:09:00 06/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [21:09:00 06/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [21:00:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [21:00:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:30:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:30:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [20:30:00 06/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:30:00 06/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [20:30:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:30:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:30:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:30:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [20:30:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:15:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:15:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:15:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [21:15:00 06/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:15:00 06/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.6667 u1: mmHg st: NotStopd t0: [21:15:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [21:15:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:15:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:15:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:15:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:15:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:30:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:30:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.6 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:15:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:15:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 06/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 06/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [22:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 06/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 06/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [22:00:00 06/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 06/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [22:00:00 06/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [22:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [22:00:00 06/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 06/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [22:00:00 06/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 06/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 06/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [22:00:00 06/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 06/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 06/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 06/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 06/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 06/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 06/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 06/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 06/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 06/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 06/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [22:00:00 06/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 06/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 06/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [22:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [22:00:00 06/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 06/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 06/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 06/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 06/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 06/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 06/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [22:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 06/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 06/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [22:00:00 06/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 06/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 06/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 06/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 06/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [22:00:00 06/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 06/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 06/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 06/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 06/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [22:00:00 06/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 06/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [22:00:00 06/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [22:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [22:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 12 vu: ml t0: [22:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [22:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 88 vu: ml
t0: [22:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6.4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:48:00 06/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Brown v2: Thick st: NotStopd t0: [22:48:00 06/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 06/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 06/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 06/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 06/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 06/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 06/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 06/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [23:00:00 06/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 06/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [23:00:00 06/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 06/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 06/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [23:00:00 06/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 06/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [23:00:00 06/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 12 vu: ml t0: [23:00:00 06/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 06/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [23:00:00 06/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 06/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [23:00:00 06/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 06/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 06/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6.4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 06/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none t0: [23:00:00 06/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1200 ap: none t0: [23:00:00 06/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 874 ap: none t0: [23:00:00 06/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 30 cv: 874 ap: none
t0: [00:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 07/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 07/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 07/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 07/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 07/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [00:00:00 07/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 07/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 07/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 07/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [00:00:00 07/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [00:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 07/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 07/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 07/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 07/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 07/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 07/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 07/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 07/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 07/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 07/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 07/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [00:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 12 vu: ml t0: [00:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [00:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [00:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6.4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 925 ap: none
t0: [00:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 28 vu: ml
t0: [23:00:00 07/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 65 cv: 65 ap: none t0: [23:00:00 07/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 65 cv: 1484 ap: none t0: [23:00:00 07/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 65 cv: 2484 ap: none
t0: [00:00:00 07/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 196 rs: Manual st: NotStopd
t0: [20:00:00 06/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [00:00:00 07/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [00:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml
t0: [23:00:00 06/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 58 cv: 58 ap: none t0: [23:00:00 06/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 38 cv: 1346.18 ap: none t0: [23:00:00 06/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 88 cv: 2606.18 ap: none t0: [23:00:00 06/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 58 cv: 1732.18 ap: none t0: [23:00:00 06/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 58 cv: 20137.6 ap: carryForward t0: [23:00:00 07/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 5.445 cv: 5.445 ap: none t0: [23:00:00 07/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 20.445 cv: 838.003 ap: none t0: [23:00:00 07/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 70.445 cv: 2003 ap: none t0: [23:00:00 07/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 5.445 cv: -480.997 ap: none t0: [23:00:00 07/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 5.445 cv: 19656.6 ap: carryForward
t0: [00:14:00 07/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:14:00 07/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:14:00 07/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:14:00 07/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:14:00 07/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:16:00 07/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:16:00 07/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:16:00 07/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:16:00 07/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:16:00 07/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:16:00 07/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:16:00 07/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:16:00 07/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:16:00 07/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [00:16:00 07/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:16:00 07/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [00:16:00 07/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:16:00 07/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:16:00 07/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:16:00 07/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [00:16:00 07/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 20.2 u1: L/min st: NotStopd t0: [00:16:00 07/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:16:00 07/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:16:00 07/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 20 u1: . st: NotStopd t0: [00:16:00 07/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:16:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [00:16:00 07/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:16:00 07/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:16:00 07/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [00:16:00 07/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:16:00 07/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:16:00 07/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [01:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [01:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 07/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 07/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [01:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [01:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [01:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 12 vu: ml t0: [01:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [01:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 33 vu: ml
t0: [01:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 6.4 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd
t0: [02:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 07/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [02:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [02:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [02:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [02:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 07/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [02:00:00 07/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 07/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [02:00:00 07/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 07/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 07/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [02:00:00 07/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 07/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [02:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 07/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 07/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 07/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [02:00:00 07/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 07/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [02:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [02:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 07/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [02:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [02:00:00 07/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 07/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 07/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 07/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [02:00:00 07/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 07/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [02:00:00 07/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [02:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [02:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 10 vu: ml t0: [02:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [02:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [02:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [02:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5.33333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 07/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [02:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [02:00:00 07/04/2015] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [02:00:00 07/04/2015] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd
t0: [03:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [03:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [03:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [03:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 10 vu: ml t0: [03:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [03:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [03:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5.33333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 07/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [04:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [04:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 07/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 07/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 07/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [04:00:00 07/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 07/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [04:00:00 07/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 07/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 07/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v2: Off st: NotStopd t0: [04:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [04:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [04:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 07/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 07/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [04:00:00 07/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [04:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 07/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 07/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 07/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 07/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 07/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 07/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 07/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [03:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 34 vu: ml t0: [04:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [04:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 10 vu: ml t0: [04:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [04:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [04:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5.33333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 07/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml
t0: [04:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 31 vu: ml
t0: [05:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [05:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [05:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [05:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [05:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 10 vu: ml t0: [05:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [05:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [05:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5.33333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:42:00 07/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [04:42:00 07/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:42:00 07/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:42:00 07/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [04:42:00 07/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [04:42:00 07/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [04:42:00 07/04/2015] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.17 rs: Final st: NotStopd
t0: [05:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 33 vu: ml
t0: [05:13:00 07/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [05:13:00 07/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [05:13:00 07/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:13:00 07/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:13:00 07/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:13:00 07/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:13:00 07/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [05:13:00 07/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:13:00 07/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [05:13:00 07/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [05:13:00 07/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [05:13:00 07/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:13:00 07/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [05:13:00 07/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [05:13:00 07/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.1 u1: cmH2O st: NotStopd t0: [05:13:00 07/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [05:13:00 07/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:13:00 07/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [05:13:00 07/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 20 u1: . st: NotStopd t0: [05:13:00 07/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [05:13:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [05:13:00 07/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [05:13:00 07/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [05:13:00 07/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [05:13:00 07/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:30:00 07/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.1 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.2 u1: % rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 808 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.76 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.1 rs: Final st: NotStopd
t0: [06:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 07/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [06:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [06:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [06:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 07/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [06:00:00 07/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [06:00:00 07/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [06:00:00 07/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 07/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 07/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [06:00:00 07/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [06:00:00 07/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [06:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 07/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [06:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [06:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [06:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 07/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [06:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 07/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [06:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [06:00:00 07/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 07/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 07/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 07/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [06:00:00 07/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [06:00:00 07/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [06:00:00 07/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [06:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [06:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 8 vu: ml t0: [06:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 32 vu: ml
t0: [06:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.26667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 07/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.9 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [04:30:00 07/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [06:00:00 07/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 199 rs: Manual st: NotStopd
t0: [07:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [07:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [07:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [07:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [07:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [07:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [07:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 6 vu: ml t0: [07:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [07:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [07:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:35:00 07/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [07:35:00 07/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [07:35:00 07/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [07:35:00 07/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [07:35:00 07/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [07:35:00 07/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 40 u1: BPM st: NotStopd t0: [07:35:00 07/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [07:35:00 07/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [07:35:00 07/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [07:35:00 07/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [07:35:00 07/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 8 st: NotStopd t0: [07:35:00 07/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [07:35:00 07/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [07:35:00 07/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [07:35:00 07/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 14.3 u1: cmH2O st: NotStopd t0: [07:35:00 07/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.2 u1: L/min st: NotStopd t0: [07:35:00 07/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [07:35:00 07/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 20 u1: . st: NotStopd t0: [07:35:00 07/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 18 u1: BPM st: NotStopd t0: [07:35:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 95 u1: % st: NotStopd t0: [07:35:00 07/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 640 u1: ml/B st: NotStopd t0: [07:35:00 07/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: CPAP+PS st: NotStopd t0: [07:35:00 07/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [07:35:00 07/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd
t0: [08:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 07/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 07/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 07/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [08:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [08:00:00 07/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 07/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 07/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [08:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [08:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 07/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 07/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 07/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 07/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 07/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 07/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 07/04/2015] tf: [14:38:00 16/04/2015] dt: 13358 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Restart t0: [08:00:00 07/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [08:00:00 07/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [08:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [08:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 6 vu: ml t0: [08:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml st: Restart t0: [08:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [08:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 07/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 07/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [08:00:00 07/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 07/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 07/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 35.9444 u1: Deg. C st: NotStopd t0: [08:00:00 07/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.7 u1: Deg. F st: NotStopd t0: [08:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [08:00:00 07/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 07/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 07/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 07/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd
t0: [08:45:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:45:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [08:45:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:45:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:45:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:45:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [08:45:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:45:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 142 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:45:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [08:45:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:45:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [08:45:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:45:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [08:45:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:45:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:45:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:45:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [09:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 142 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [09:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [09:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [09:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 5.75 vu: ml t0: [09:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 12 vu: ml
t0: [09:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 07/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [10:00:00 07/04/2015] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [10:00:00 07/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [10:00:00 07/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [10:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [10:00:00 07/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [10:00:00 07/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 07/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [10:00:00 07/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [10:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [10:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 139 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [10:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [10:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [10:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 5 vu: ml t0: [10:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [10:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.66667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [10:00:00 07/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd
t0: [11:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [11:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [11:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [11:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [11:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 5 vu: ml t0: [11:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [11:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [11:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 07/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [12:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 07/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 07/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 07/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [12:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [12:00:00 07/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 07/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [12:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [12:00:00 07/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 07/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [12:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [12:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 07/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [12:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [12:00:00 07/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [12:00:00 07/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 07/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 07/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 07/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 07/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 07/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 07/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 07/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 07/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 07/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [12:00:00 07/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [12:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [12:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 6 vu: ml t0: [12:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [12:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 07/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 117 rs: Manual st: NotStopd t0: [13:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 07/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [13:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [13:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [13:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [13:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 6 vu: ml t0: [13:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [13:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 3.2 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [14:00:00 07/04/2015] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: CT scan st: NotStopd t0: [16:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 07/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 07/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 07/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 07/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 07/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [16:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [16:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [16:00:00 07/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 07/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [16:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 152 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 07/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [16:00:00 07/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [16:00:00 07/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [16:00:00 07/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Thoracentesis st: NotStopd t0: [16:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [16:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 07/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 07/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 07/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 07/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [16:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 07/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 07/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 07/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 07/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 07/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 07/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 07/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [14:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped t0: [16:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 9 vu: ml t0: [16:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [16:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [16:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml
t0: [15:30:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [16:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 07/04/2015] tf: [14:38:00 16/04/2015] dt: 12878 id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 1000 vu: ml
t0: [17:00:00 07/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [17:00:00 07/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [17:00:00 07/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.3 u1: Deg. F st: NotStopd
t0: [13:45:00 07/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd t0: [16:35:00 07/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 22cm v2: Lip st: NotStopd t0: [16:35:00 07/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [16:35:00 07/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RT v1: 6 u1: lpm st: NotStopd t0: [16:35:00 07/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [16:35:00 07/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [16:35:00 07/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 40 u1: BPM st: NotStopd t0: [16:35:00 07/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 9.0 mm st: NotStopd t0: [16:35:00 07/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [16:35:00 07/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 33 u1: Deg. C st: NotStopd t0: [16:35:00 07/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 2 v2: 22 st: NotStopd t0: [16:35:00 07/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 8 st: NotStopd t0: [16:35:00 07/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [16:35:00 07/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Albuterol st: NotStopd t0: [16:35:00 07/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RT v1: 6 v2: Atrovent st: NotStopd t0: [16:35:00 07/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 13.9 u1: cmH2O st: NotStopd t0: [16:35:00 07/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 12.2 u1: L/min st: NotStopd t0: [16:35:00 07/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [16:35:00 07/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 20 u1: . st: NotStopd t0: [16:35:00 07/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 23 u1: BPM st: NotStopd t0: [16:35:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 94 u1: % st: NotStopd t0: [16:35:00 07/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: Tan v2: Thick st: NotStopd t0: [16:35:00 07/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Small st: NotStopd t0: [16:35:00 07/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 550 u1: ml/B st: NotStopd t0: [16:35:00 07/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: CPAP+PS st: NotStopd t0: [16:35:00 07/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RT v1: 20 u1: # st: NotStopd t0: [16:35:00 07/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: 7200A st: NotStopd
t0: [17:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [17:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [17:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 07/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [17:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [17:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [17:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vu: ml t0: [17:00:00 07/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [17:00:00 07/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Restart t0: [17:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [17:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vu: ml st: Restart t0: [17:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [17:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 07/04/2015] tf: [19:00:00 07/04/2015] dt: 120 id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 1.6 du: mcgmin sv: 250 su: ml rt: IV Drip
id: Dopamine el: 100 cu: MICU-A cg: -1 io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
t0: [18:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [18:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [18:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [18:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [18:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [18:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/04/2015] tf: [07:00:00 09/04/2015] dt: 2220 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 3 vu: ml t0: [18:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml
t0: [18:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 1.6 du: mcgmin sv: 250 su: ml rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [18:00:00 07/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 112 rs: Manual st: NotStopd
t0: [18:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 16 vu: ml
t0: [18:15:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:15:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:15:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:15:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:15:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [18:15:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:15:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:15:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [18:15:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:15:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [18:15:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [18:15:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [18:15:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:15:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:15:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:15:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 2.13333 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:30:00 07/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [18:30:00 07/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [18:30:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Restart
t0: [18:30:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:30:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:30:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:30:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [18:30:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [18:30:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:30:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:30:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [18:30:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:30:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [18:30:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [18:30:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [18:30:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:30:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:30:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:30:00 07/04/2015] tf: [11:30:00 08/04/2015] dt: 1020 id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 v1: 1.06667 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [19:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [19:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [19:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [19:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 07/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [19:00:00 07/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 2.75 vu: ml t0: [19:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 07/04/2015] tf: [13:00:00 08/04/2015] dt: 1080 id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [19:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [19:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 07/04/2015] id: Levophed el: 2 cu: MICU-A so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [19:00:00 07/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 07/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 07/04/2015] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 07/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 07/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 07/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 07/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 07/04/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [20:00:00 07/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 07/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 07/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 07/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 07/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 07/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 07/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 07/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [20:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 07/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 07/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 07/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [20:00:00 07/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 07/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 07/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [20:00:00 07/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 07/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 07/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 07/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 07/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 07/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 07/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 07/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 07/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 07/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 07/04/2015] tf: [13:00:00 08/04/2015] dt: 1020 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [20:00:00 07/04/2015] tf: [06:00:00 08/04/2015] dt: 600 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 25 vu: ml t0: [20:00:00 07/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 07/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.1675 vu: ml t0: [20:00:00 07/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [20:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [20:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [20:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 07/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:19:00 07/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:18:00 07/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:18:00 07/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:18:00 07/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:18:00 07/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:18:00 07/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:18:00 07/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:18:00 07/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:18:00 07/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:18:00 07/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:18:00 07/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:18:00 07/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [20:18:00 07/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:18:00 07/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:18:00 07/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:18:00 07/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.3 u1: cmH2O st: NotStopd t0: [20:18:00 07/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 16.7 u1: L/min st: NotStopd t0: [20:18:00 07/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:18:00 07/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:18:00 07/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 20 u1: . st: NotStopd t0: [20:18:00 07/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [20:18:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [20:18:00 07/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [20:18:00 07/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:18:00 07/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:18:00 07/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:30:00 07/04/2015] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 319 rs: Final st: NotStopd
t0: [21:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [21:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [21:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [21:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 07/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 07/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 07/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 07/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 07/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:00:00 07/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [22:00:00 07/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [22:00:00 07/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [22:00:00 07/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 07/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 07/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 07/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.89 vu: ml t0: [22:00:00 07/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [22:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [22:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [21:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 07/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 07/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 07/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 07/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 240 ap: none
t0: [00:00:00 08/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 08/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [00:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [00:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [00:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [00:00:00 08/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 08/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 08/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 08/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [00:00:00 08/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [00:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 07/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5.445 vu: ml t0: [23:00:00 07/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [23:00:00 07/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 07/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 07/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 07/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [00:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 08/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 08/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 08/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 08/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 08/04/2015] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Negative v2: 7 st: NotStopd t0: [00:00:00 08/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 08/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [00:00:00 08/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 08/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 08/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 08/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 08/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 08/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 08/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 08/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 08/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 08/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 08/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 129 rs: Manual st: NotStopd t0: [00:00:00 08/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 08/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 08/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 08/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 08/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 08/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 08/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 08/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 08/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [00:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5.445 vu: ml t0: [00:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [00:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [23:00:00 08/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 145 cv: 145 ap: none t0: [23:00:00 08/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -67 cv: -67 ap: none t0: [23:00:00 08/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 28 cv: 1281.51 ap: none t0: [23:00:00 08/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 78 cv: 2701.51 ap: none t0: [23:00:00 08/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1150 ap: none t0: [23:00:00 08/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 145 cv: 1880 ap: none t0: [23:00:00 08/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -67 cv: 821.507 ap: none t0: [23:00:00 08/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 145 cv: 1880 ap: none t0: [23:00:00 08/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -67 cv: 20478.1 ap: carryForward
t0: [00:03:00 08/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:03:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:03:00 08/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:03:00 08/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:03:00 08/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:03:00 08/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:03:00 08/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:03:00 08/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:03:00 08/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [00:03:00 08/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:03:00 08/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [00:03:00 08/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:03:00 08/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:03:00 08/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:03:00 08/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18.6 u1: cmH2O st: NotStopd t0: [00:03:00 08/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 21 u1: L/min st: NotStopd t0: [00:03:00 08/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:03:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 20 u1: . st: NotStopd t0: [00:03:00 08/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:03:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [00:03:00 08/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:03:00 08/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:03:00 08/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [00:03:00 08/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:03:00 08/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:03:00 08/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [02:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [02:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [02:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.89 vu: ml t0: [02:00:00 08/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [02:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [02:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [02:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:22:00 08/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:22:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:22:00 08/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:22:00 08/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:22:00 08/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:22:00 08/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:22:00 08/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [04:22:00 08/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:22:00 08/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [04:22:00 08/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [04:22:00 08/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 8 st: NotStopd t0: [04:22:00 08/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:22:00 08/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:22:00 08/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:22:00 08/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16.8 u1: cmH2O st: NotStopd t0: [04:22:00 08/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 18.4 u1: L/min st: NotStopd t0: [04:22:00 08/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:22:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 20 u1: . st: NotStopd t0: [04:22:00 08/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 32 u1: BPM st: NotStopd t0: [04:22:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [04:22:00 08/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [04:22:00 08/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:22:00 08/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [04:22:00 08/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:22:00 08/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [04:22:00 08/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [04:00:00 08/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 08/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 08/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 08/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 08/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 08/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 08/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [04:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 08/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 08/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 08/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [04:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 08/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [04:00:00 08/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 08/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 08/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 08/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 08/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 08/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [04:00:00 08/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [04:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 08/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 08/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 07/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 08/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [04:00:00 08/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [04:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.89 vu: ml t0: [04:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [04:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [04:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 08/04/2015] id: D5W 250.0ml + 8mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: -1 ai: 109 vo: 0 st: D/C'd
t0: [05:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [05:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [05:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [05:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [06:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 86.2 u1: kg st: NotStopd t0: [06:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [06:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 90 rs: Manual st: NotStopd
t0: [06:00:00 08/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [06:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.89 vu: ml t0: [06:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [06:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [05:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:25:00 08/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [06:25:00 08/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [06:25:00 08/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [06:25:00 08/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [06:25:00 08/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [06:25:00 08/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [06:31:00 08/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.9 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.7 u1: % rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 447 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.73 u1: /mic l rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 17.9 rs: Final st: NotStopd
t0: [07:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [07:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [07:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 141 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 08/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: -1 v1: 86.2 u1: kg st: NotStopd t0: [07:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 32 u1: BPM st: NotStopd t0: [07:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [07:00:00 08/04/2015] id: Weight Change el: 0 cu: MICU-A cg: -1 v1: -0.3 u1: kg st: NotStopd t0: [07:00:00 08/04/2015] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd
t0: [07:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5.445 vu: ml t0: [07:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [07:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [07:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [07:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:31:00 08/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [06:31:00 08/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [08:00:00 08/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 08/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 08/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 08/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 08/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 08/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 08/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 08/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [08:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 08/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 08/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 08/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 08/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [08:00:00 08/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 08/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 08/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 08/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 08/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [08:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 08/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 08/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [08:00:00 08/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 08/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 08/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 08/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 08/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 08/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 08/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 08/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 08/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 08/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 08/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 08/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 08/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 08/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 08/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 08/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 08/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 08/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 08/04/2015] tf: [10:00:00 08/04/2015] dt: 120 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [08:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [08:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5.445 vu: ml t0: [08:00:00 08/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [08:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [08:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [08:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [08:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 08/04/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vu: ml t0: [08:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [08:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 08/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 08/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [08:00:00 08/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 08/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 08/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 08/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 08/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 08/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [08:00:00 08/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 08/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [08:00:00 08/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 08/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 08/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 08/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.1 u1: cmH2O st: NotStopd t0: [08:00:00 08/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 16 u1: L/min st: NotStopd t0: [08:00:00 08/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 20 u1: . st: NotStopd t0: [08:00:00 08/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [08:00:00 08/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 08/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [08:00:00 08/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 08/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [06:31:00 08/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd
t0: [09:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [09:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [09:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [09:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [09:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [09:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5.445 vu: ml t0: [09:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [09:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [09:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:30:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:30:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:30:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [09:30:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:30:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [09:30:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:30:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:30:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [09:30:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:30:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [09:30:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:30:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [09:30:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:30:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:30:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:30:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [10:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [10:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [10:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [10:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [10:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [10:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [10:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.80625 vu: ml t0: [10:00:00 08/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [10:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2.5 vu: ml t0: [10:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [10:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 08/04/2015] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:30:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd
t0: [10:30:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:30:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [10:30:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [10:30:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [10:30:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:30:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [10:30:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:30:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:30:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [10:30:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [10:30:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 139 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:30:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [10:30:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [10:30:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:30:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:30:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [10:30:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [10:30:00 08/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [10:30:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [10:30:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:30:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [10:30:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:30:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:30:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [11:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [11:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [11:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [11:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [11:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8.1675 vu: ml t0: [11:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 275 vu: ml
t0: [11:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 15 u1: . st: NotStopd t0: [11:00:00 08/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [11:00:00 08/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 560 u1: ml/B st: NotStopd
t0: [11:30:00 08/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [11:30:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [11:30:00 08/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [11:30:00 08/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [11:30:00 08/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:30:00 08/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:30:00 08/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [11:30:00 08/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [11:30:00 08/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [11:30:00 08/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [11:30:00 08/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 8 st: NotStopd t0: [11:30:00 08/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:30:00 08/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.2 u1: cmH2O st: NotStopd t0: [11:30:00 08/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 16.2 u1: L/min st: NotStopd t0: [11:30:00 08/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:30:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [11:30:00 08/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [11:30:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [11:30:00 08/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [11:30:00 08/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [11:30:00 08/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [11:30:00 08/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [11:15:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:15:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [11:15:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:15:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:15:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:15:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 128 u1: BPM st: NotStopd t0: [11:15:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:15:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [11:15:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:15:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [11:15:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [11:15:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [11:15:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:30:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:30:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [11:30:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:30:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:30:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 122 u1: BPM st: NotStopd t0: [11:30:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [11:30:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:30:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [11:30:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:30:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [11:30:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [11:30:00 08/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [11:30:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:15:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:15:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:15:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:30:00 08/04/2015] id: Dopamine el: 1 cu: MICU-A so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [11:30:00 08/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [11:30:00 08/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [11:30:00 08/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd
t0: [11:55:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:55:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [11:55:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:55:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:55:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:55:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 138 u1: BPM st: NotStopd t0: [11:55:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [11:55:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:55:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [11:55:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:55:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [11:55:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 32 u1: BPM st: NotStopd t0: [11:55:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [11:55:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:55:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [11:55:00 08/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [11:55:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:03:00 08/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [12:03:00 08/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [12:03:00 08/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [12:03:00 08/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [12:03:00 08/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [12:03:00 08/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [12:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 140 u1: BPM st: NotStopd t0: [12:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [12:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [12:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2.58333 vu: ml t0: [12:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 200 vu: ml
t0: [12:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 08/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [12:00:00 08/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 08/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 08/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 08/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 08/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 08/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 08/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [12:00:00 08/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 08/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 08/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 08/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 08/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 08/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 08/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 08/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 08/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 08/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 08/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Tachypneic st: NotStopd t0: [12:00:00 08/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 08/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 08/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 08/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [12:00:00 08/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 08/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 08/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd
t0: [12:10:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [12:10:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 20 u1: . st: NotStopd
t0: [12:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 38 u1: BPM st: NotStopd t0: [12:15:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:15:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [12:15:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:15:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:15:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:15:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 134 u1: BPM st: NotStopd t0: [12:15:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:15:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:15:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [12:15:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:15:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [12:15:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [12:15:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [12:15:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:15:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:15:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
id: Amiodarone el: 200 cu: MICU-A cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip id: Neosynephrine el: 100 cu: MICU-A cg: -1 io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip id: Heparin el: 200 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ra: 15.5 ru: ml/hr
t0: [13:00:00 08/04/2015] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:50:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:50:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [12:50:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:50:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:50:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:50:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 132 u1: BPM st: NotStopd t0: [12:50:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [12:50:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [12:50:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [12:50:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:50:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [12:50:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [12:50:00 08/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Cardioversion st: NotStopd t0: [12:50:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [12:50:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:50:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:50:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [13:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 128 u1: BPM st: NotStopd t0: [13:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [13:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [13:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [13:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [13:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 08/04/2015] tf: [11:00:00 10/04/2015] dt: 2760 id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:30:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:30:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [13:30:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:30:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:30:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 129 u1: BPM st: NotStopd t0: [13:30:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [13:30:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:30:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [13:30:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:30:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [13:30:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:30:00 08/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd t0: [13:30:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [13:30:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:30:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml
t0: [13:30:00 08/04/2015] tf: [14:38:00 16/04/2015] dt: 11588 id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:30:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:50:00 08/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [13:50:00 08/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [13:50:00 08/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [13:50:00 08/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [13:50:00 08/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [13:50:00 08/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
id: Neosynephrine el: 101 cu: MICU-A cg: -1 io: D5W 250.0ml + 40mcgmin Neosynephrine IV Infusions am: 40 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ra: 5.625 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 250.0ml + 40mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [14:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [14:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 129 u1: BPM st: NotStopd t0: [14:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [14:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:15:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:15:00 08/04/2015] id: CVP el: 0 cu: MICU-A cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [14:15:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:15:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:15:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:15:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 109 u1: BPM st: NotStopd t0: [14:15:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:15:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:15:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [14:15:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:15:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [14:15:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:15:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:15:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/04/2015] tf: [11:00:00 10/04/2015] dt: 2700 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 250 vu: ml t0: [14:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 15.5 vu: ml t0: [14:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [14:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 08/04/2015] tf: [08:00:00 09/04/2015] dt: 1080 id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [14:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 08/04/2015] tf: [16:45:00 08/04/2015] dt: 165 id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:15:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:15:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:15:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: Trendelenberg st: NotStopd t0: [14:00:00 08/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [14:00:00 08/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 08/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [14:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [14:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [14:30:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:30:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:30:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:30:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:30:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 114 u1: BPM st: NotStopd t0: [14:30:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [14:30:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [14:30:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [14:30:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:30:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [14:30:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:30:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [14:30:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:30:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:30:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:30:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:30:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 08/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 123 rs: Manual st: NotStopd
t0: [14:00:00 08/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Fluid Bolus st: NotStopd
t0: [11:15:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd
t0: [13:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml
t0: [15:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 124 u1: BPM st: NotStopd t0: [15:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 161 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [15:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg st: NotStopd t0: [15:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [15:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:15:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:15:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:15:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:15:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:15:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [15:15:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:15:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:15:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 88.3333 u1: mmHg st: NotStopd t0: [15:15:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:15:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [15:15:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:15:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [15:15:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 7 u1: BPM st: NotStopd t0: [15:15:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:15:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:15:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:15:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:15:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:54:00 08/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd
t0: [15:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [15:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [15:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [15:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [15:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [15:30:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:30:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:30:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:30:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:30:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [15:30:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:30:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 141 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:30:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [15:30:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:30:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [15:30:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:30:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [15:30:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:30:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:30:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:30:00 08/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [15:30:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [15:30:00 08/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: -1 v1: 6 u1: lpm st: NotStopd t0: [15:30:00 08/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [15:30:00 08/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [15:30:00 08/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [15:30:00 08/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [15:30:00 08/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:30:00 08/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [15:30:00 08/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [15:30:00 08/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 6 st: NotStopd t0: [15:30:00 08/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:30:00 08/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [15:30:00 08/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [15:30:00 08/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.7 u1: cmH2O st: NotStopd t0: [15:30:00 08/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 15 u1: L/min st: NotStopd t0: [15:30:00 08/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [15:30:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: -1 v1: 18 u1: . st: NotStopd t0: [15:30:00 08/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:30:00 08/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 690 u1: ml/B st: NotStopd t0: [15:30:00 08/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: CPAP+PS st: NotStopd t0: [15:30:00 08/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [15:30:00 08/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [13:54:00 08/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [13:54:00 08/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd
t0: [16:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [16:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [16:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [16:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [16:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [15:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 15.5 vu: ml t0: [15:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [15:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [15:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [15:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [16:00:00 08/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [16:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 15.5 vu: ml t0: [16:00:00 08/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [16:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [16:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [16:00:00 08/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 08/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 08/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 08/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 08/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 08/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 08/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 08/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 08/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [16:00:00 08/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 08/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 08/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 08/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 08/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 08/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 08/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 08/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 08/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 08/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 08/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 08/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 08/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 08/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 08/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 08/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 08/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 08/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 08/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 08/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 08/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [16:00:00 08/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [16:00:00 08/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [15:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [16:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 08/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [16:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 08/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 08/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:30:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:30:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:30:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:30:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [16:30:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:30:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:30:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [16:30:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [16:30:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 149 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:30:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [16:30:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:30:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [16:30:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [16:30:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:30:00 08/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [16:30:00 08/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [16:30:00 08/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [16:30:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:30:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:30:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:30:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:37:00 08/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [16:37:00 08/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [16:37:00 08/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [16:37:00 08/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [16:37:00 08/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [16:37:00 08/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [08:00:00 08/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 08/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 08/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:45:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:45:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:45:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:45:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [16:45:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:45:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:45:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:45:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [16:45:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:45:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [16:45:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:45:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [16:45:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [16:45:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:45:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:45:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:45:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:45:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [16:45:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:45:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [17:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [17:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [17:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 13 u1: BPM st: NotStopd t0: [17:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 15.5 vu: ml t0: [17:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [17:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 65 vu: ml
t0: [17:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 08/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 152 rs: Manual st: NotStopd
t0: [18:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [18:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [18:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [18:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [18:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 15.5 vu: ml t0: [18:00:00 08/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [18:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [18:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 270 ap: none
t0: [18:00:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd
t0: [18:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [18:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [19:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [19:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [19:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [19:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [19:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [19:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [19:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 15.5 vu: ml t0: [19:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [19:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [19:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [19:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:50:00 08/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: >150* rs: Final st: NotStopd
t0: [20:00:00 08/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 08/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 08/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 08/04/2015] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 08/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 5 u1: points st: NotStopd t0: [20:00:00 08/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 08/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [20:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 08/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 08/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 08/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [20:00:00 08/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 08/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [20:00:00 08/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 08/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 6 st: NotStopd t0: [20:00:00 08/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 08/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 08/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [20:00:00 08/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 08/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [20:00:00 08/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 08/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 08/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 08/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 08/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [20:00:00 08/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [20:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 08/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 08/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 08/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 15.5 vu: ml t0: [20:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [20:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 08/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 08/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 08/04/2015] id: Flow-By (lpm) el: 0 cu: MICU-A cg: rrt v1: 6 u1: lpm st: NotStopd t0: [20:00:00 08/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [20:00:00 08/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [20:00:00 08/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [20:00:00 08/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 08/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [20:00:00 08/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 6 st: NotStopd t0: [20:00:00 08/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 08/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 08/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 10.9 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 12.5 u1: L/min st: NotStopd t0: [20:00:00 08/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 08/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: rrt v1: 18 u1: . st: NotStopd t0: [20:00:00 08/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 19 u1: BPM st: NotStopd t0: [20:00:00 08/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 08/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 08/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 630 u1: ml/B st: NotStopd t0: [20:00:00 08/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: CPAP+PS st: NotStopd t0: [20:00:00 08/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [20:00:00 08/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd
t0: [21:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [21:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [21:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [21:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 15.5 vu: ml t0: [21:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [21:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml
t0: [21:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/04/2015] tf: [14:38:00 16/04/2015] dt: 11138 id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [22:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [22:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [22:00:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 48.6667 u1: mmHg st: NotStopd t0: [22:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [22:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [22:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [22:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 08/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 08/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 08/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 51 u1: BPM st: NotStopd t0: [23:00:00 08/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 08/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [23:00:00 08/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 48.3333 u1: mmHg st: NotStopd t0: [23:00:00 08/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 08/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 08/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [23:00:00 08/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 08/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 08/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 08/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [23:00:00 08/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [23:00:00 08/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 08/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 08/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 08/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 145 vu: ml
t0: [23:00:00 08/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 08/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 08/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 08/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 08/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 08/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 08/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 08/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 08/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v2: Off st: NotStopd t0: [23:00:00 08/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 08/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 08/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 08/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [00:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [00:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [00:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 09/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 09/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 09/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [00:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [00:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [00:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 09/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 74 cv: 74 ap: none t0: [23:00:00 09/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 24 cv: 1323.3 ap: none t0: [23:00:00 09/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 74 cv: 2663.3 ap: none t0: [23:00:00 09/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1100 ap: none t0: [23:00:00 09/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1030 ap: none t0: [23:00:00 09/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 74 cv: 1633.3 ap: carryForward t0: [23:00:00 09/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1030 ap: carryForward t0: [23:00:00 09/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 74 cv: 22111.4 ap: carryForward
t0: [00:00:00 09/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 09/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 09/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 09/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:00:00 09/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 09/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 09/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:00:00 09/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [00:00:00 09/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 09/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 09/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 16.6 u1: L/min st: NotStopd t0: [00:00:00 09/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [00:00:00 09/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 09/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 09/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 09/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 09/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 740 u1: ml/B st: NotStopd t0: [00:00:00 09/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 09/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:00:00 09/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [01:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [01:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [01:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [01:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [01:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [01:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [01:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [01:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 09/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 171 rs: Manual st: NotStopd t0: [01:00:00 09/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [01:00:00 09/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [01:00:00 09/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd
t0: [02:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [02:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [02:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [02:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [00:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 09/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [03:00:00 09/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 09/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [03:00:00 09/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [03:00:00 09/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [03:00:00 09/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 09/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [03:00:00 09/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [03:00:00 09/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [03:00:00 09/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 09/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [03:00:00 09/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [03:00:00 09/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: cmH2O st: NotStopd t0: [03:00:00 09/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.2 u1: L/min st: NotStopd t0: [03:00:00 09/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [03:00:00 09/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [03:00:00 09/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [03:00:00 09/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [03:00:00 09/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [03:00:00 09/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [03:00:00 09/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [03:00:00 09/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [00:00:00 09/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 09/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 09/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 09/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 09/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [00:00:00 09/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 09/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [00:00:00 09/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 09/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [00:00:00 09/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Redness st: NotStopd t0: [00:00:00 09/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 09/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 6 st: NotStopd t0: [00:00:00 09/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 09/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 09/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 09/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 09/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 09/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 09/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 09/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 09/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 09/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 09/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 09/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 09/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 09/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [03:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [03:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [03:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [03:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 09/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 09/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 09/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 09/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 09/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [04:00:00 09/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 09/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 1 st: NotStopd t0: [04:00:00 09/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: Redness st: NotStopd t0: [04:00:00 09/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 09/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 6 st: NotStopd t0: [04:00:00 09/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 09/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 09/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 09/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [04:00:00 09/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 09/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 09/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 09/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 09/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 09/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [05:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [05:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 09/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 09/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v2: Off st: NotStopd t0: [05:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [05:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 09/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 09/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [03:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [04:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [04:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [05:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [05:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [03:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 09/04/2015] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [04:59:00 09/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 115 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 75 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [06:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [06:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [06:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [06:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [06:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 09/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [06:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [06:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 10.6667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:59:00 09/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.1 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.8 u1: % rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 493 rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.93 u1: /mic l rs: Final st: NotStopd t0: [04:59:00 09/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.1 rs: Final st: NotStopd
id: Neosynephrine el: 100 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions am: 40 du: mg rt: IV Drip
id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:41:00 09/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [07:41:00 09/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [07:41:00 09/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [07:41:00 09/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [07:41:00 09/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [07:41:00 09/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [07:41:00 09/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd
t0: [07:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [07:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [07:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [07:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [07:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 09/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [08:00:00 09/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 09/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 09/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 09/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [08:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 1 st: NotStopd t0: [08:00:00 09/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: Redness st: NotStopd t0: [08:00:00 09/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 09/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 09/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [08:00:00 09/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 09/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 09/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 09/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 09/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [08:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 09/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 09/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 09/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [08:00:00 09/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [08:00:00 09/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 09/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 09/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 09/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 09/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 09/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 09/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 09/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 09/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 09/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 09/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 09/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 09/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 09/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [06:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [06:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [06:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [07:00:00 09/04/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped t0: [07:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [07:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [07:00:00 09/04/2015] tf: [15:00:00 09/04/2015] dt: 480 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [07:00:00 09/04/2015] tf: [09:00:00 09/04/2015] dt: 120 id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [07:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [07:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 10.6667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 10.6667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 09/04/2015] tf: [00:00:00 12/04/2015] dt: 3840 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [08:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [08:00:00 09/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [08:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [08:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [08:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped
t0: [08:15:00 09/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:15:00 09/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:15:00 09/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:15:00 09/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:15:00 09/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [08:15:00 09/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:15:00 09/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:15:00 09/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:15:00 09/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:15:00 09/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:15:00 09/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [08:15:00 09/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [08:15:00 09/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:15:00 09/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 18 u1: L/min st: NotStopd t0: [08:15:00 09/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:15:00 09/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [08:15:00 09/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:15:00 09/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:15:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:15:00 09/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [08:15:00 09/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:15:00 09/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [08:15:00 09/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 09/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 09/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [09:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [09:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml t0: [09:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [09:00:00 09/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [09:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [09:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped t0: [09:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [09:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [09:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 09/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [08:00:00 09/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 09/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 35.7778 u1: Deg. C st: NotStopd t0: [08:00:00 09/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.4 u1: Deg. F st: NotStopd t0: [10:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [10:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [10:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [10:00:00 09/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [10:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 09/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [10:00:00 09/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [08:00:00 09/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [09:00:00 09/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [10:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [10:00:00 09/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [10:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [10:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [10:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [10:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [10:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 63 u1: BPM st: NotStopd t0: [11:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [11:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [11:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/04/2015] tf: [00:01:00 13/04/2015] dt: 5161 id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml st: Restart t0: [11:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [11:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [11:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [11:00:00 09/04/2015] tf: [21:00:00 11/04/2015] dt: 3480 id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml st: Restart t0: [11:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [11:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [11:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 10.6667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 09/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 st: NotStopd
t0: [09:45:00 09/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd
t0: [12:00:00 09/04/2015] id: INV#3Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 09/04/2015] id: INV Line#3 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 09/04/2015] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 09/04/2015] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 09/04/2015] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 09/04/2015] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 09/04/2015] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 09/04/2015] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 09/04/2015] id: INV Line#3 D/C Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 09/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 09/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 09/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 09/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 09/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 09/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [12:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 09/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 09/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 09/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 09/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [12:00:00 09/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 09/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 09/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 09/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 09/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 09/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 09/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [12:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 09/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 09/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 09/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [12:00:00 09/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [12:00:00 09/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 09/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 09/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 09/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [12:00:00 09/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 09/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [12:00:00 09/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 09/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [12:00:00 09/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [12:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 09/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 09/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Agitated st: NotStopd t0: [12:00:00 09/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 09/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 09/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 09/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 09/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 09/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 09/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 09/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [12:00:00 09/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [12:00:00 09/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [12:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [12:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [12:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [12:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [12:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [12:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 10.6667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 240 ap: none
t0: [12:41:00 09/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:41:00 09/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:41:00 09/04/2015] id: Flow-by Sensitivity el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [12:41:00 09/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:41:00 09/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:41:00 09/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [12:41:00 09/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:41:00 09/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [12:41:00 09/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [12:41:00 09/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:41:00 09/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:41:00 09/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:41:00 09/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: cmH2O st: NotStopd t0: [12:41:00 09/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 18 u1: L/min st: NotStopd t0: [12:41:00 09/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:41:00 09/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [12:41:00 09/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 27 u1: BPM st: NotStopd t0: [12:41:00 09/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:41:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [12:41:00 09/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 730 u1: ml/B st: NotStopd t0: [12:41:00 09/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:41:00 09/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [12:41:00 09/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [13:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [13:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [13:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [13:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [13:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [13:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [13:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [13:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [13:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 10.6667 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [14:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [14:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [14:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [14:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [14:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [14:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [14:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 09/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 09/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 09/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 71 u1: BPM st: NotStopd t0: [15:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [15:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [15:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 09/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 09/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [15:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [15:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2 vu: ml t0: [15:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [15:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [15:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 09/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 09/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 09/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 09/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 09/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 09/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [16:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [16:00:00 09/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 09/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 09/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 09/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [16:00:00 09/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 09/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 09/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 09/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 09/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 09/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 09/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [16:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 09/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [16:00:00 09/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 09/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [16:00:00 09/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [16:00:00 09/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 09/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 09/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 09/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 09/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [16:00:00 09/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 09/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [16:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 09/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 09/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 09/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 09/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 09/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 09/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 09/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 09/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 09/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 09/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [15:00:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml st: Stopped t0: [16:00:00 09/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [16:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [16:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [16:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [16:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [16:00:00 09/04/2015] id: Amiodarone el: 2 cu: MICU-A so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:01:00 09/04/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [16:00:00 09/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [16:00:00 09/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [16:00:00 09/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [16:00:00 09/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 166 rs: Final st: NotStopd t0: [16:00:00 09/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:00:00 09/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [16:00:00 09/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [16:00:00 09/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [16:37:00 09/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [16:37:00 09/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:37:00 09/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:37:00 09/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:37:00 09/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [16:37:00 09/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:37:00 09/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:37:00 09/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [16:37:00 09/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [16:37:00 09/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:37:00 09/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:37:00 09/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:37:00 09/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:37:00 09/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [16:37:00 09/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:37:00 09/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [16:37:00 09/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:37:00 09/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:37:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [16:37:00 09/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [16:37:00 09/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:37:00 09/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [16:37:00 09/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [16:00:00 09/04/2015] id: Vancomycin/Trough Drug Level el: 0 cu: MICU-A cg: 1663 v1: 13.7 rs: Final st: NotStopd
t0: [17:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [17:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [17:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [17:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [17:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 09/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Hard st: NotStopd t0: [17:00:00 09/04/2015] id: Stool Guaiac el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [17:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [17:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [17:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [17:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 9.4 vu: ml t0: [17:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [17:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 09/04/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vu: ml es: Large t0: [17:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [16:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [18:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 09/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 09/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 09/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 09/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 85.9 u1: kg st: NotStopd t0: [18:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [18:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 09/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 09/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 09/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 09/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [18:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 09/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 9.4 vu: ml t0: [18:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 09/04/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vu: ml es: Small t0: [18:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [18:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:50:00 08/04/2015] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 85.9 u1: kg st: NotStopd t0: [18:00:00 09/04/2015] id: Vancomycin/Peak Drug Level el: 0 cu: MICU-A cg: 1663 v1: 26.9 rs: Final st: NotStopd
t0: [23:00:00 09/04/2015] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: 1663 cv: 0 ap: carryForward
t0: [19:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [19:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [19:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [19:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [19:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [19:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [19:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [19:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [19:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:01:00 09/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [20:01:00 09/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 15.6067 u1: ml/dl st: NotStopd t0: [20:01:00 09/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [20:01:00 09/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [20:01:00 09/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [20:01:00 09/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [20:01:00 09/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [20:01:00 09/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [20:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [20:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [20:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 09/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [20:00:00 09/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 09/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [20:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [20:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [20:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:19:00 09/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [20:19:00 09/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.4 u1: torr st: NotStopd t0: [20:19:00 09/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [20:19:00 09/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [20:19:00 09/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [20:19:00 09/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [20:19:00 09/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34 u1: Deg. C st: NotStopd t0: [20:19:00 09/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [20:19:00 09/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 6 st: NotStopd t0: [20:19:00 09/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:19:00 09/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [20:19:00 09/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Atrovent st: NotStopd t0: [20:19:00 09/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 11 u1: cmH2O st: NotStopd t0: [20:19:00 09/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 14.3 u1: L/min st: NotStopd t0: [20:19:00 09/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 7.5 u1: cmH2O st: NotStopd t0: [20:19:00 09/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: rrt v1: 18 u1: . st: NotStopd t0: [20:19:00 09/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 18 u1: BPM st: NotStopd t0: [20:19:00 09/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [20:19:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 100 u1: % st: NotStopd t0: [20:19:00 09/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 820 u1: ml/B st: NotStopd t0: [20:19:00 09/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: CPAP+PS st: NotStopd t0: [20:19:00 09/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [20:19:00 09/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd
t0: [21:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [21:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [21:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [21:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [21:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 09/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [22:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [22:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [21:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [21:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [21:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [22:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [22:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 09/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [21:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 09/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 09/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [23:00:00 09/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 09/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [23:00:00 09/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 09/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [23:00:00 09/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 09/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 09/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [23:00:00 09/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [23:00:00 09/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 09/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [23:00:00 09/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [23:00:00 09/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 09/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 09/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 09/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 10/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 10/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 10/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [00:00:00 10/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [00:00:00 10/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [00:00:00 10/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 10/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [00:00:00 10/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 6 st: NotStopd t0: [00:00:00 10/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 10/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 10/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 10/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 10/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 11.9 u1: L/min st: NotStopd t0: [00:00:00 10/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 10/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: rrt v1: 18 u1: . st: NotStopd t0: [00:00:00 10/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 15 u1: BPM st: NotStopd t0: [00:00:00 10/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 100 u1: % st: NotStopd t0: [00:00:00 10/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 850 u1: ml/B st: NotStopd t0: [00:00:00 10/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: CPAP+PS st: NotStopd t0: [00:00:00 10/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [00:00:00 10/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd
t0: [00:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [00:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [00:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [00:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 10/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 10/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 10/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 163 rs: Manual st: NotStopd
t0: [00:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [00:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [00:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [00:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml t0: [01:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [01:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [01:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [01:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
t0: [00:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [01:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [01:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [02:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [02:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [02:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [02:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [02:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml
t0: [01:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [03:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [03:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [03:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [03:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [03:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [03:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [04:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [04:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [04:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 10/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 10/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [04:00:00 10/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [04:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [04:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [04:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [04:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 10/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 10/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 10/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 40 u1: BPM st: NotStopd t0: [04:00:00 10/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [04:00:00 10/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [04:00:00 10/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 10/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [04:00:00 10/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 6 st: NotStopd t0: [04:00:00 10/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 10/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 10/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 10/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 11.9 u1: cmH2O st: NotStopd t0: [04:00:00 10/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 12.1 u1: L/min st: NotStopd t0: [04:00:00 10/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 10/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: rrt v1: 18 u1: . st: NotStopd t0: [04:00:00 10/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 27 u1: BPM st: NotStopd t0: [04:00:00 10/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 10/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 10/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: CPAP+PS st: NotStopd t0: [04:00:00 10/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [04:00:00 10/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd
t0: [19:00:00 09/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 09/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 09/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [19:00:00 09/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [19:00:00 09/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 09/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 09/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 09/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 09/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 09/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [20:00:00 09/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 09/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [20:00:00 09/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 09/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 7 st: NotStopd t0: [20:00:00 09/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 09/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 6 st: NotStopd t0: [20:00:00 09/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 09/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 09/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 09/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 09/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 09/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 09/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [21:00:00 09/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [21:00:00 09/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 09/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 09/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 09/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 09/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 10/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 10/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 10/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 10/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 10/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 10/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 10/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [00:00:00 10/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 10/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 10/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 10/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 10/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 10/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 10/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 10/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 10/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 10/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 10/04/2015] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 10/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 10/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [01:00:00 10/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [01:00:00 10/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [01:00:00 10/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [01:00:00 10/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 10/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 10/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 7 st: NotStopd t0: [01:00:00 10/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 10/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [01:00:00 10/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 6 st: NotStopd t0: [01:00:00 10/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [01:00:00 10/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [02:00:00 10/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [02:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 10/04/2015] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 10/04/2015] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/04/2015] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 10/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 10/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 10/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 10/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 10/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 2 v2: 26 st: NotStopd t0: [04:00:00 10/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 10/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 2 v2: 25 st: NotStopd t0: [04:00:00 10/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 10/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 7 st: NotStopd t0: [04:00:00 10/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 10/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 10/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 3 v2: 6 st: NotStopd t0: [04:00:00 10/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 10/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 10/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 10/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/04/2015] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 10/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 10/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/04/2015] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 10/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [05:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [05:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [05:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [05:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml
t0: [05:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [06:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/04/2015] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 85.9 u1: kg st: NotStopd t0: [06:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: RN ai: 112 vo: 12 vu: ml t0: [06:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [06:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 115 vu: ml
t0: [06:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:03:00 10/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.2 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.7 u1: % rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 722 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.79 u1: /mic l rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.2 rs: Final st: NotStopd
t0: [06:03:00 10/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 73.8 rs: Final st: NotStopd
t0: [06:03:00 10/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 38 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 167 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:03:00 10/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [08:32:00 10/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:32:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:32:00 10/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:32:00 10/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:32:00 10/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [08:32:00 10/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:32:00 10/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:32:00 10/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:32:00 10/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:32:00 10/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:32:00 10/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [08:32:00 10/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [08:32:00 10/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:32:00 10/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15 u1: L/min st: NotStopd t0: [08:32:00 10/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:32:00 10/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [08:32:00 10/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:32:00 10/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:32:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [08:32:00 10/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [08:32:00 10/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:32:00 10/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [08:32:00 10/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [07:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [07:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [07:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [07:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [07:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [07:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [08:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 10/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 10/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 10/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:00:00 10/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [08:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 24 vu: ml t0: [08:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [08:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [08:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [07:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 10/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 10/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [08:00:00 10/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 10/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [08:00:00 10/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 10/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 10/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [08:00:00 10/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 10/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 10/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [08:00:00 10/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 10/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 10/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [08:00:00 10/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 10/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 10/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 10/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 10/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: No Apparent Prob st: NotStopd t0: [08:00:00 10/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [08:00:00 10/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 10/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 10/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 10/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [09:00:00 10/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 10/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [09:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 10/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [09:00:00 10/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [09:00:00 10/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [09:00:00 10/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 10/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [09:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [09:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 10/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [09:00:00 10/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [09:00:00 10/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [09:00:00 10/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [09:00:00 10/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 10/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [09:00:00 10/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 10/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [09:00:00 10/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [09:00:00 10/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [09:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 10/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [09:00:00 10/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [09:00:00 10/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 10/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd
t0: [09:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [09:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [09:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [09:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [09:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [09:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 10/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd
t0: [10:46:00 10/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [10:46:00 10/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [10:46:00 10/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [10:46:00 10/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [10:46:00 10/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [10:46:00 10/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [10:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [10:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [10:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 10/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [11:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [11:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [11:00:00 10/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [11:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [11:00:00 10/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [11:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [10:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [10:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [10:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vu: ml st: Stopped t0: [11:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [11:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [11:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [10:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [10:46:00 10/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 14.4338 u1: ml/dl st: NotStopd t0: [11:12:00 10/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [11:12:00 10/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [11:12:00 10/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 14.4741 u1: ml/dl st: NotStopd t0: [11:12:00 10/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [11:12:00 10/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [11:12:00 10/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [11:12:00 10/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [11:12:00 10/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [11:00:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [12:00:00 10/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 10/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 10/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 10/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 10/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 10/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 10/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [12:00:00 10/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [12:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 10/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [12:00:00 10/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 10/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [12:00:00 10/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 10/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 10/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 10/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 10/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 10/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 10/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [12:00:00 10/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 10/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [12:00:00 10/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 10/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 10/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 10/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 10/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 10/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 10/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [12:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 10/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 10/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 10/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 10/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 10/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 10/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 10/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 10/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 10/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 10/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [12:00:00 10/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 10/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 10/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 10/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 10/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 10/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 10/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [12:00:00 10/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 10/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 10/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [12:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [12:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [12:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 10/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 184 rs: Manual st: NotStopd
t0: [12:22:00 10/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [12:22:00 10/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [12:22:00 10/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [12:22:00 10/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [12:22:00 10/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [12:22:00 10/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [12:22:00 10/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 14.8191 u1: ml/dl st: NotStopd t0: [12:22:00 10/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [12:22:00 10/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 94 u1: % rs: Final st: NotStopd t0: [12:24:00 10/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:24:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:24:00 10/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:24:00 10/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:24:00 10/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [12:24:00 10/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:24:00 10/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:24:00 10/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [12:24:00 10/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [12:24:00 10/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:24:00 10/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:24:00 10/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:24:00 10/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:24:00 10/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [12:24:00 10/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:24:00 10/04/2015] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 18 u1: . st: NotStopd t0: [12:24:00 10/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:24:00 10/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:24:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:24:00 10/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 670 u1: ml/B st: NotStopd t0: [12:24:00 10/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:24:00 10/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [12:24:00 10/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [13:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [13:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [13:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
id: Neosynephrine el: 202 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [14:30:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:30:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [14:30:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:30:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [14:30:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [14:30:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 87 u1: % st: NotStopd t0: [14:30:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:35:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:35:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:35:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:35:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:35:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:35:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:35:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:35:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [14:35:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:35:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 42 u1: BPM st: NotStopd t0: [14:35:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:35:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:35:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:35:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:40:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:40:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:40:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:40:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:40:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [14:40:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:40:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:40:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [14:40:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:40:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:40:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:40:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:40:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:40:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:30:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:35:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:40:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 10/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9508 u1: ml/cmH st: NotStopd t0: [14:00:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:00:00 10/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [14:00:00 10/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [14:00:00 10/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1.8 st: NotStopd t0: [14:00:00 10/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [14:00:00 10/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [14:00:00 10/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:00:00 10/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [14:00:00 10/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.9 u1: L/min st: NotStopd t0: [14:00:00 10/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [14:00:00 10/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [14:00:00 10/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [14:00:00 10/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [14:00:00 10/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:00:00 10/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [14:00:00 10/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [14:00:00 10/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 88 u1: % st: NotStopd t0: [14:00:00 10/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [14:00:00 10/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [14:00:00 10/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [14:00:00 10/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [14:00:00 10/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [14:00:00 10/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [14:54:00 10/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [14:54:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:54:00 10/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [14:54:00 10/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [14:54:00 10/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [14:54:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [14:54:00 10/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [14:54:00 10/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [14:54:00 10/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [06:03:00 10/04/2015] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 305 rs: Final st: NotStopd
t0: [14:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [14:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [14:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [14:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 10/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [14:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:30:00 10/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Line Placement st: NotStopd t0: [14:30:00 10/04/2015] id: Significant Events el: 0 cu: MICU-A cg: -1 v1: Pneumothorax st: NotStopd t0: [15:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [15:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [15:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 10/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 10/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 61.3333 u1: mmHg st: NotStopd t0: [15:00:00 10/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [15:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 10/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 10/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Chest Tube In st: NotStopd t0: [15:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 10/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [15:00:00 10/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serosanguinous st: NotStopd t0: [15:00:00 10/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [15:00:00 10/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd
t0: [13:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [13:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml t0: [14:00:00 10/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml
t0: [14:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd
t0: [16:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [16:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 10/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 10/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [16:00:00 10/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [16:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 10/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12 vu: ml t0: [16:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [16:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 9 vu: ml t0: [16:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [16:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 10/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 10/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 10/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 10/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [16:00:00 10/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 10/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 10/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [16:00:00 10/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 10/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 10/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 10/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 10/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 10/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 10/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 10/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [16:00:00 10/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 10/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 10/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [17:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [17:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [17:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 10/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [17:00:00 10/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [17:00:00 10/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [17:00:00 10/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd
t0: [17:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:19:00 10/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [17:19:00 10/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [17:19:00 10/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [17:19:00 10/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [17:19:00 10/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [17:19:00 10/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [17:00:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.8 u1: torr st: NotStopd
t0: [19:58:00 10/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [19:58:00 10/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [19:58:00 10/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [19:58:00 10/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [19:58:00 10/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [19:58:00 10/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [19:58:00 10/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 156 rs: Final st: NotStopd
t0: [18:00:00 10/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [19:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [19:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [19:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [20:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 10/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 10/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 10/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 10/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 10/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 10/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [20:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 10/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 10/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 10/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 10/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [20:00:00 10/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 10/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 10/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 10/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 10/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 10/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 10/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 10/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [20:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 50 u1: mmHg st: NotStopd t0: [20:00:00 10/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 10/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 10/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 10/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 10/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 10/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 10/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 10/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 10/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thin st: NotStopd t0: [20:00:00 10/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 10/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [20:00:00 10/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [20:00:00 10/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [20:00:00 10/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [20:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 10/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 10/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 10/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 10/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 10/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 10/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 10/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 10/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 10/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 10/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Comp. Limited st: NotStopd t0: [20:00:00 10/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [20:00:00 10/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [20:00:00 10/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 10/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [20:00:00 10/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [19:00:00 10/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [19:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12 vu: ml t0: [19:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [19:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 9 vu: ml t0: [19:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 150 vu: ml t0: [20:00:00 10/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 10/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [20:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [20:00:00 10/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 22.5 vu: ml t0: [20:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [20:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [20:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [19:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 90 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:45:00 10/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.4151 u1: ml/cmH st: NotStopd t0: [20:45:00 10/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:45:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [20:45:00 10/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:45:00 10/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:45:00 10/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2 st: NotStopd t0: [20:45:00 10/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:45:00 10/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:45:00 10/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:45:00 10/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:45:00 10/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [20:45:00 10/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:45:00 10/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: A v2: Albuterol st: NotStopd t0: [20:45:00 10/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v2: Atrovent st: NotStopd t0: [20:45:00 10/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:45:00 10/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [20:45:00 10/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:45:00 10/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [20:45:00 10/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [20:45:00 10/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [20:45:00 10/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:45:00 10/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:45:00 10/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:45:00 10/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:45:00 10/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:45:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [20:45:00 10/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:45:00 10/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [20:45:00 10/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:45:00 10/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:45:00 10/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:45:00 10/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [21:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/04/2015] tf: [06:00:00 11/04/2015] dt: 540 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [21:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [21:00:00 10/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 22.5 vu: ml t0: [21:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [21:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [21:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [21:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 90 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 10/04/2015] tf: [14:38:00 16/04/2015] dt: 8258 id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 10/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [22:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 10/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 10/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 10/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [22:00:00 10/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [22:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 10/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 10/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [22:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [22:00:00 10/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 22.8 vu: ml t0: [22:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [22:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [22:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [22:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 90 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:59:00 10/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [21:59:00 10/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 15.5059 u1: ml/dl st: NotStopd t0: [21:59:00 10/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [21:59:00 10/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [21:59:00 10/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [21:59:00 10/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [21:59:00 10/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [21:59:00 10/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:00:00 10/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 10/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 10/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 10/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 10/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [23:00:00 10/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 10/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 10/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 10/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 10/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [23:00:00 10/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 10/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [23:00:00 10/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [23:00:00 10/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 22.5 vu: ml t0: [23:00:00 10/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 10/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [23:00:00 10/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [23:00:00 10/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [23:00:00 10/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 10/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 90 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 10/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 10/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 25 cv: 25 ap: none t0: [23:00:00 10/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 71.5 cv: 71.5 ap: none t0: [23:00:00 10/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 46.5 cv: 681.3 ap: none t0: [23:00:00 10/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 96.5 cv: 1781.3 ap: none t0: [23:00:00 10/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1100 ap: none t0: [23:00:00 10/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 25 cv: 1100 ap: none t0: [23:00:00 10/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 71.5 cv: 131.3 ap: none t0: [23:00:00 10/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 25 cv: 1650 ap: none t0: [23:00:00 10/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 71.5 cv: 22242.7 ap: carryForward
t0: [22:39:00 10/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [22:39:00 10/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd
t0: [00:00:00 11/04/2015] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 11/04/2015] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:00:00 11/04/2015] id: INV#2Chg o/Wire Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 11/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 11/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 11/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 11/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 11/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [00:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 26 st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 2 v2: 25 st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 11/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 11/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 11/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 11/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [00:00:00 11/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 11/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 11/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 11/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 11/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [00:00:00 11/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 11/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 11/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 11/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [00:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 11/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 11/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 11/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 11/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 11/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 11/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 11/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 11/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 11/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [00:00:00 11/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [00:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [00:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [00:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 11/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 11/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 11/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 149 rs: Manual st: NotStopd t0: [00:00:00 11/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [00:00:00 11/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 11/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 11/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [00:00:00 11/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 11/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 11/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 10 u1: number st: NotStopd t0: [00:00:00 11/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Comp. Limited st: NotStopd t0: [00:00:00 11/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [00:00:00 11/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 11/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [00:00:00 11/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 11/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 30 vu: ml t0: [00:00:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [00:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [00:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 22.5 vu: ml t0: [00:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [00:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [00:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [00:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 90 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 11/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 11/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.451 u1: ml/cmH st: NotStopd t0: [00:00:00 11/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 11/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 11/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 11/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 11/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [00:00:00 11/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 11/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 11/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [00:00:00 11/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 9 st: NotStopd t0: [00:00:00 11/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 11/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 11/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 11/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.2 u1: cmH2O st: NotStopd t0: [00:00:00 11/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [00:00:00 11/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 11/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [00:00:00 11/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [00:00:00 11/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 11/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [00:00:00 11/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 11/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 11/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 11/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Plug st: NotStopd t0: [00:00:00 11/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 11/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [00:00:00 11/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 11/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 11/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [00:00:00 11/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 11/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 11/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [01:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 79 u1: BPM st: NotStopd t0: [01:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [01:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [01:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [01:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [01:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [01:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [01:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [01:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [01:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 11/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [02:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [02:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [02:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [02:00:00 11/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml t0: [02:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [02:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [02:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [02:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [02:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 11/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:51:00 11/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [01:51:00 11/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 14.959 u1: ml/dl st: NotStopd t0: [01:51:00 11/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [01:51:00 11/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [01:51:00 11/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [01:51:00 11/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [01:51:00 11/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [01:51:00 11/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 95 u1: % rs: Final st: NotStopd
t0: [03:05:00 11/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.5 u1: % rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 535 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.81 u1: /mic l rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd
t0: [04:00:00 11/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.1111 u1: ml/cmH st: NotStopd t0: [04:00:00 11/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 11/04/2015] id: ETT Position Change el: 0 cu: MICU-A cg: RRT v1: Done st: NotStopd t0: [04:00:00 11/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 11/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 11/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [04:00:00 11/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 11/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 11/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [04:00:00 11/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 9 st: NotStopd t0: [04:00:00 11/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 11/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 11/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12.3 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [04:00:00 11/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [04:00:00 11/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 11/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [04:00:00 11/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 11/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 11/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [04:00:00 11/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thin st: NotStopd t0: [04:00:00 11/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 11/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [04:00:00 11/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 11/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 11/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [04:00:00 11/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 11/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:05:00 11/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 43 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 169 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [03:05:00 11/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [03:05:00 11/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 68.4 rs: Final st: NotStopd
t0: [03:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 82 u1: BPM st: NotStopd t0: [03:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 11/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 11/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 11/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [04:00:00 11/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 11/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 11/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [04:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 11/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 11/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 11/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [04:00:00 11/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 11/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 11/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 11/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 11/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 11/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 11/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [04:00:00 11/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 11/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 11/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 11/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 11/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 11/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 11/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 11/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 11/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [04:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 11/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 11/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 11/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 11/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 11/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 11/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 11/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 11/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 11/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [04:00:00 11/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [04:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [04:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 11/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 11/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 11/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [04:00:00 11/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 11/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 11/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 11/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 11/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 11/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [04:00:00 11/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Comp. Limited st: NotStopd t0: [04:00:00 11/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [04:00:00 11/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [04:00:00 11/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Changed st: NotStopd t0: [04:00:00 11/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [04:00:00 11/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [05:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [05:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [05:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [05:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [03:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [03:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [03:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml t0: [04:00:00 11/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 150 vu: ml t0: [04:00:00 11/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 15 vu: ml t0: [04:00:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [04:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [04:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [04:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [05:00:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml t0: [05:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [05:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [05:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [03:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 11/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 11/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [05:00:00 11/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:57:00 11/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 184 rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [04:50:00 11/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.1 rs: Final st: NotStopd t0: [04:50:00 11/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.2 u1: % rs: Final st: NotStopd t0: [04:50:00 11/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: gm/dl rs: Final st: NotStopd t0: [04:50:00 11/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 539 rs: Final st: NotStopd t0: [04:50:00 11/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.56 u1: /mic l rs: Final st: NotStopd t0: [04:50:00 11/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.1 rs: Final st: NotStopd t0: [04:57:00 11/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.5009 u1: ml/dl st: NotStopd
t0: [06:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [06:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [06:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [06:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [06:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [06:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 10/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 550 vu: ml t0: [03:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [04:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [05:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [06:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [06:00:00 11/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 250 vu: ml t0: [06:00:00 11/04/2015] tf: [06:00:00 13/04/2015] dt: 2880 id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vo: 400 vu: ml t0: [06:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [06:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 11/04/2015] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 400 ap: none
t0: [06:00:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 12 vu: ml st: Stopped
t0: [06:00:00 11/04/2015] id: Heparin el: 2 cu: MICU-A so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:01:00 11/04/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: MICU-A cg: -1 ai: 112 vo: 0 st: D/C'd
t0: [06:25:00 11/04/2015] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [07:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [07:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [07:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd
t0: [07:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [07:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [07:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [07:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 11/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.1111 u1: ml/cmH st: NotStopd t0: [09:00:00 11/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [09:00:00 11/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [09:00:00 11/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 11/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:00:00 11/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [09:00:00 11/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 11/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [09:00:00 11/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [09:00:00 11/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 9 st: NotStopd t0: [09:00:00 11/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [09:00:00 11/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [09:00:00 11/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [09:00:00 11/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.5 u1: cmH2O st: NotStopd t0: [09:00:00 11/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.1 u1: L/min st: NotStopd t0: [09:00:00 11/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:00:00 11/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [09:00:00 11/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [09:00:00 11/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [09:00:00 11/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:00:00 11/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 11/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:00:00 11/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:00:00 11/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [09:00:00 11/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [09:00:00 11/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [09:00:00 11/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 11/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [09:00:00 11/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [09:00:00 11/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [09:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 11/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml t0: [09:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [09:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [09:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [09:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 11/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 90 ap: none
t0: [08:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [08:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [10:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [10:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [10:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [10:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [10:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
id: Packed RBC's el: 1 cu: MICU-A cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [11:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 58 u1: BPM st: NotStopd t0: [11:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [12:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [09:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [11:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [11:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [12:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [12:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [12:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [12:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [12:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 85 vu: ml
t0: [12:00:00 11/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 146 rs: Manual st: NotStopd
t0: [12:20:00 11/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.1667 u1: ml/cmH st: NotStopd t0: [12:20:00 11/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:20:00 11/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [12:20:00 11/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:20:00 11/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:20:00 11/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [12:20:00 11/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:20:00 11/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:20:00 11/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [12:20:00 11/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 9 st: NotStopd t0: [12:20:00 11/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:20:00 11/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:20:00 11/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:20:00 11/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:20:00 11/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [12:20:00 11/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:20:00 11/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [12:20:00 11/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:20:00 11/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [12:20:00 11/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:20:00 11/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:20:00 11/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:20:00 11/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:20:00 11/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:20:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:20:00 11/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: ml/B st: NotStopd t0: [12:20:00 11/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:20:00 11/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:20:00 11/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [12:20:00 11/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:20:00 11/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 11/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 11/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 11/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [08:00:00 11/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 11/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 11/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 11/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 11/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 11/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 11/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 11/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 11/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 11/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 11/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 11/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 11/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 11/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 11/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:00:00 11/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 11/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 11/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [08:00:00 11/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [08:00:00 11/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 11/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [08:00:00 11/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [10:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [10:00:00 11/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [10:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 11/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 11/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 11/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 11/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 11/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 11/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [12:00:00 11/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 11/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 11/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [12:00:00 11/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 11/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [12:00:00 11/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 11/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: On st: NotStopd t0: [12:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 11/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [12:00:00 11/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [08:00:00 11/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thin st: NotStopd t0: [08:00:00 11/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 11/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: None st: NotStopd
t0: [10:15:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:15:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:15:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [10:15:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:15:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [10:15:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:15:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [10:15:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [10:15:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [10:15:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:30:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:30:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [10:30:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:30:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [10:30:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:30:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [10:30:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [10:30:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [10:30:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:30:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:30:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [11:30:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:30:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [11:30:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:30:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:30:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [11:30:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [11:30:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [11:30:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:15:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:15:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:15:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [12:15:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:15:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:15:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:15:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:15:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:15:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:15:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [12:15:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:30:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:30:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:30:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 72 u1: BPM st: NotStopd t0: [12:30:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:30:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [12:30:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:30:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [12:30:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [12:30:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:30:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [12:30:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/04/2015] tf: [14:38:00 16/04/2015] dt: 7418 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 150 vu: ml t0: [12:00:00 11/04/2015] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 150 vu: ml t0: [13:00:00 11/04/2015] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 150 vu: ml
t0: [10:15:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:15:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:30:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:30:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:15:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:15:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:15:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:30:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:45:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:45:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:45:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 73 u1: BPM st: NotStopd t0: [12:45:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:45:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [12:45:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:45:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:45:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [12:45:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:45:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [12:45:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:45:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:45:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 77 u1: BPM st: NotStopd t0: [13:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [13:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [13:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [13:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:30:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:30:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [13:30:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 140 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:30:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [13:30:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:30:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:30:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:30:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [13:30:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [13:30:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [14:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [14:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [14:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [14:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:30:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 11/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 11/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [08:00:00 11/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 11/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 11/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:00:00 11/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 11/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [08:00:00 11/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [08:00:00 11/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 11/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 11/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 11/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 11/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 11/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 11/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 11/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [12:00:00 11/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 11/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 11/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 11/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 11/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 11/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 11/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 11/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 11/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 11/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 11/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 11/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 11/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 11/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 11/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 11/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 11/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 11/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 11/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 11/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [12:00:00 11/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 11/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 11/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 11/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 11/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 11/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 11/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [12:00:00 11/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [12:00:00 11/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 11/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [12:00:00 11/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [14:15:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:15:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:15:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [14:15:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:15:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [14:15:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:15:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [14:15:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [14:15:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [14:15:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [13:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 11/04/2015] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 150 vu: ml t0: [14:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [14:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [14:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [14:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [14:15:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:15:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 11/04/2015] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: -1 cv: 600 ap: none
t0: [10:00:00 11/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 6 mm st: NotStopd t0: [12:00:00 11/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 6 mm st: NotStopd
t0: [16:30:00 11/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [16:30:00 11/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [16:30:00 11/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [16:30:00 11/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:30:00 11/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:30:00 11/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [16:30:00 11/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:30:00 11/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [16:30:00 11/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [16:30:00 11/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 9 st: NotStopd t0: [16:30:00 11/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:30:00 11/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:30:00 11/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:30:00 11/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:30:00 11/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [16:30:00 11/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:30:00 11/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [16:30:00 11/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:30:00 11/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:30:00 11/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:30:00 11/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:30:00 11/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:30:00 11/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:30:00 11/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:30:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [16:30:00 11/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:30:00 11/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:30:00 11/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:30:00 11/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [16:30:00 11/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:30:00 11/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [15:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [15:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 80 u1: BPM st: NotStopd t0: [16:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [16:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [16:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [16:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 35 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 11/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 11/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 11/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 11/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 6 mm st: NotStopd t0: [14:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [14:00:00 11/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 11/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: Off st: NotStopd t0: [14:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 11/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 11/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 11/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 11/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 11/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 11/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 11/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 11/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 11/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [14:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 11/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 11/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 11/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 11/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 11/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [16:00:00 11/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 11/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 11/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [16:00:00 11/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 11/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 11/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 11/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 11/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [16:00:00 11/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 11/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 11/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 11/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 11/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 11/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 11/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [16:00:00 11/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 11/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [16:00:00 11/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 11/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 11/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 11/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 11/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 11/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 11/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: On st: NotStopd t0: [16:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 11/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 11/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 11/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 11/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [16:00:00 11/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 11/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 11/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 11/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 11/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 11/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 11/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 11/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [16:00:00 11/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 11/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [16:00:00 11/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [16:00:00 11/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 11/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [16:00:00 11/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [17:06:00 11/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [17:06:00 11/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [17:06:00 11/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [17:06:00 11/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [17:06:00 11/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [17:06:00 11/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [17:00:00 11/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.6 u1: % rs: Final st: NotStopd t0: [17:00:00 11/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd
t0: [17:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [17:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [17:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [17:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [15:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [15:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [15:00:00 11/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml t0: [16:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [16:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [16:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [17:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [17:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 165 vu: ml
t0: [17:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 77 u1: BPM st: NotStopd t0: [18:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [18:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 87 u1: BPM st: NotStopd t0: [19:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 128 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [19:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [19:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [19:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [19:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [19:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [19:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 85 vu: ml
t0: [18:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [19:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 11/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 36.1446 u1: ml/cmH st: NotStopd t0: [20:00:00 11/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 11/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 11/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 11/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 11/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 11/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [20:00:00 11/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 11/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 9 st: NotStopd t0: [20:00:00 11/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 11/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 11/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 7.6 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 10.2 u1: L/min st: NotStopd t0: [20:00:00 11/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 75 u1: L/m st: NotStopd t0: [20:00:00 11/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 21.6 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 11/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 1 u1: BPM st: NotStopd t0: [20:00:00 11/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [20:00:00 11/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 11/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [20:00:00 11/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 570 u1: ml/B st: NotStopd t0: [20:00:00 11/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 11/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 11/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 11/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 11/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 11/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 11/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 11/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 11/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [20:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [20:00:00 11/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [20:00:00 11/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [20:00:00 11/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [20:00:00 11/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [20:00:00 11/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 84 u1: BPM st: NotStopd t0: [20:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 11/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 11/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [20:00:00 11/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 11/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 11/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 11/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 11/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 11/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [20:00:00 11/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 11/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 11/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Exp Wheeze st: NotStopd t0: [20:00:00 11/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 11/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 11/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 11/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 11/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: On st: NotStopd t0: [20:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 11/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 11/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 11/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Exp Wheeze st: NotStopd t0: [20:00:00 11/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 11/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 11/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 11/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 11/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 11/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 11/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 11/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [20:00:00 11/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 11/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 11/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Restless st: NotStopd t0: [20:00:00 11/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 11/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 11/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 11/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 11/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 11/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 11/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 13 u1: number st: NotStopd t0: [20:00:00 11/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 11/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [20:00:00 11/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [20:00:00 11/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 11/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [20:00:00 11/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [20:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [20:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [20:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [20:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [20:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 11/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 11/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [21:00:00 11/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thin st: NotStopd t0: [21:00:00 11/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [21:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 77 u1: BPM st: NotStopd t0: [21:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [21:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [21:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [21:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [21:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml nb: 1 t0: [21:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [21:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [21:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:00:00 11/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [21:00:00 11/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [21:30:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:30:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:30:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [21:30:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:30:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [21:30:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 47 u1: mmHg st: NotStopd t0: [21:30:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:30:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [21:30:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [21:30:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:30:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [21:30:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2.5 vu: ml t0: [21:30:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [21:30:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml
t0: [21:30:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:30:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:30:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 11/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [22:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [22:00:00 11/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 11/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [22:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 11/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 11/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [22:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 11/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 11/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [22:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 2.5 vu: ml t0: [22:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 1.5 vu: ml t0: [22:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 25 vu: ml t0: [22:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [22:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 11/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 11/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 11/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 11/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 11/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [23:00:00 11/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 11/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 11/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 11/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 11/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [23:00:00 11/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 11/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [23:00:00 11/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 11/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [23:00:00 11/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [23:00:00 11/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 14 vu: ml
t0: [23:00:00 11/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 11/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 11/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 14 cv: 14 ap: none t0: [23:00:00 11/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1200 ap: none t0: [23:00:00 11/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 14 cv: 1264 ap: none t0: [23:00:00 11/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 14 cv: 1964 ap: none
t0: [22:00:00 11/04/2015] tf: [14:38:00 16/04/2015] dt: 6758 id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 vu: ml t0: [22:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [23:00:00 11/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml nb: 1
t0: [23:00:00 11/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 67 cv: 67 ap: none t0: [23:00:00 11/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 31 cv: 867 ap: none t0: [23:00:00 11/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 81 cv: 2757 ap: none t0: [23:00:00 11/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 67 cv: 793 ap: none t0: [23:00:00 11/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 67 cv: 23035.7 ap: carryForward
t0: [00:00:00 12/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 25.974 u1: ml/cmH st: NotStopd t0: [00:00:00 12/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 12/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 12/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 12/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 12/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 12/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 12/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [00:00:00 12/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 12/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 12/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10.9 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 15.3 u1: L/min st: NotStopd t0: [00:00:00 12/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 75 u1: L/m st: NotStopd t0: [00:00:00 12/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 28.1 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 21.9 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 12/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 6 u1: BPM st: NotStopd t0: [00:00:00 12/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 12/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 12/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [00:00:00 12/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [00:00:00 12/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 12/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 12/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 12/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 12/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 11/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 12/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [00:00:00 12/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 12/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 12/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [00:00:00 12/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 70 u1: BPM st: NotStopd t0: [00:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 12/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 12/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [00:00:00 12/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 12/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 12/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 12/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 12/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 12/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [00:00:00 12/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 12/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [00:00:00 12/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 12/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 12/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 12/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 12/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Hand v2: Off st: NotStopd t0: [00:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [00:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 12/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 12/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 12/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 12/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thin st: NotStopd t0: [00:00:00 12/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 12/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [00:00:00 12/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 12/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 12/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 12/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 12/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Restless st: NotStopd t0: [00:00:00 12/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [00:00:00 12/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [00:00:00 12/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [00:00:00 12/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 12/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [00:00:00 12/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [00:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [00:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [00:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [00:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 12/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 20 cv: 20 ap: none t0: [23:00:00 12/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 53.5 cv: 53.5 ap: none t0: [23:00:00 12/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 23.5 cv: 724 ap: none t0: [23:00:00 12/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 73.5 cv: 2004 ap: none t0: [23:00:00 12/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1200 ap: none t0: [23:00:00 12/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 20 cv: 1157 ap: none t0: [23:00:00 12/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 53.5 cv: 327 ap: none t0: [23:00:00 12/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 20 cv: 1677 ap: none t0: [23:00:00 12/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 53.5 cv: 23362.7 ap: carryForward
t0: [00:00:00 12/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml
t0: [01:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 78 u1: BPM st: NotStopd t0: [01:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [01:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [01:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [01:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [01:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [01:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [01:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [01:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [01:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 85 u1: BPM st: NotStopd t0: [02:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [02:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [02:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml t0: [02:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [02:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [02:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [02:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [02:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 75 u1: BPM st: NotStopd t0: [03:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [03:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [03:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [03:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [03:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:05:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:05:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:05:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:05:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:05:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [03:05:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:05:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:05:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [03:05:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:05:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [03:05:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [03:05:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:05:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:05:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:05:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 12/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [04:00:00 12/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 12/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 12/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [04:00:00 12/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [04:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 12/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 12/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 12/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [04:00:00 12/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 12/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 12/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 12/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 12/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 12/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 12/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [04:00:00 12/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 12/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [04:00:00 12/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 12/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 12/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 12/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 12/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [04:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg st: NotStopd t0: [04:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 12/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 12/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 12/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 12/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 12/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [04:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 12/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 12/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [04:00:00 12/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [04:00:00 12/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [04:00:00 12/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [04:00:00 12/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 12/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [04:00:00 12/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [02:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [04:00:00 12/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 150 vu: ml t0: [04:00:00 12/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 0 vu: ml t0: [04:00:00 12/04/2015] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 20 vu: ml t0: [04:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [04:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [04:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 12/04/2015] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: -1 cv: 20 ap: none
t0: [04:32:00 12/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:32:00 12/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [04:32:00 12/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [04:32:00 12/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [04:32:00 12/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [04:32:00 12/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [04:00:00 12/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.907 u1: ml/cmH st: NotStopd t0: [04:00:00 12/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 12/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:00:00 12/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:00:00 12/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 12/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 12/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 12/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [04:00:00 12/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 12/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 12/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 12.3 u1: L/min st: NotStopd t0: [04:00:00 12/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 75 u1: L/m st: NotStopd t0: [04:00:00 12/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.5 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 20.3 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 12/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 6 u1: BPM st: NotStopd t0: [04:00:00 12/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 12/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 12/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [04:00:00 12/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 12/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 12/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:00:00 12/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 12/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [04:00:00 12/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.7 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.3 u1: % rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 413 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.7 rs: Final st: NotStopd
t0: [04:00:00 12/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 27.1 rs: Final st: NotStopd
t0: [05:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [05:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [05:00:00 12/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thin st: NotStopd t0: [05:00:00 12/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [05:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 12 vu: ml
t0: [05:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 12/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [04:00:00 12/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [00:00:00 12/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 175 rs: Manual st: NotStopd t0: [06:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [06:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [06:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [06:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [06:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [06:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 137 rs: Manual st: NotStopd
t0: [06:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [06:00:00 12/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml t0: [06:00:00 12/04/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml t0: [06:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [06:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 12/04/2015] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 125 ap: none
t0: [07:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [07:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [07:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [08:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 156 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [08:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [07:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [08:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [08:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [08:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml t0: [08:00:00 12/04/2015] id: Gastric Oral Gastric el: 1 cu: MICU-A cg: -1 vo: 0 vu: ml
t0: [08:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 12/04/2015] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: none
t0: [08:20:00 12/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [08:20:00 12/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:20:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [08:20:00 12/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:20:00 12/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:20:00 12/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [08:20:00 12/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:20:00 12/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [08:20:00 12/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:20:00 12/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [08:20:00 12/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:20:00 12/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [08:20:00 12/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [08:20:00 12/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: cmH2O st: NotStopd t0: [08:20:00 12/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [08:20:00 12/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:20:00 12/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [08:20:00 12/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:20:00 12/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:20:00 12/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:20:00 12/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:20:00 12/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [08:20:00 12/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:20:00 12/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:20:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [08:20:00 12/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:20:00 12/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:20:00 12/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:20:00 12/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [08:20:00 12/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:20:00 12/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 12/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 12/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [08:00:00 12/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 12/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [08:00:00 12/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 12/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 12/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 12/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 12/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [08:00:00 12/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 12/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:00:00 12/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 12/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 12/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [08:00:00 12/04/2015] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 10 st: NotStopd t0: [08:00:00 12/04/2015] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 3 v2: 6 st: NotStopd t0: [08:00:00 12/04/2015] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 12/04/2015] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [08:00:00 12/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 12/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 12/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 12/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 12/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [08:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 12/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 12/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 12/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 12/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 12/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 12/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 12/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [08:00:00 12/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 12/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 12/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 12/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 12/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 12/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 12/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 12/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 12/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [08:00:00 12/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [08:00:00 12/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 12/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [08:00:00 12/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 12/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 12/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 12/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [09:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [09:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [09:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [10:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [10:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [10:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [10:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [10:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [10:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [10:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [10:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [10:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [11:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [11:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 109 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 12/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [12:00:00 12/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 12/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 12/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [12:00:00 12/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 12/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [12:00:00 12/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 12/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 12/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 12/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 12/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 12/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [12:00:00 12/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 12/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 12/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [12:00:00 12/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 12/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 12/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Stimul st: NotStopd t0: [12:00:00 12/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 12/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 12/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Hand v2: On st: NotStopd t0: [12:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [12:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 12/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 12/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 12/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 12/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 12/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 12/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [12:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [12:00:00 12/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 35.9444 u1: Deg. C st: NotStopd t0: [12:00:00 12/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.7 u1: Deg. F st: NotStopd t0: [12:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 12/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 12/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 12/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [12:00:00 12/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [12:00:00 12/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Changed st: NotStopd t0: [12:00:00 12/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [12:00:00 12/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [09:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [09:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [09:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [09:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [10:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [10:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 105 vu: ml t0: [11:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [11:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [11:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [12:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [12:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [09:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [11:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd
t0: [12:00:00 12/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 152 rs: Manual st: NotStopd
t0: [12:50:00 12/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [12:50:00 12/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:50:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [12:50:00 12/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [12:50:00 12/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:50:00 12/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [12:50:00 12/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:50:00 12/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:50:00 12/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [12:50:00 12/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [12:50:00 12/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:50:00 12/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:50:00 12/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:50:00 12/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.1 u1: cmH2O st: NotStopd t0: [12:50:00 12/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [12:50:00 12/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:50:00 12/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [12:50:00 12/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:50:00 12/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:50:00 12/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:50:00 12/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [12:50:00 12/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:50:00 12/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:50:00 12/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:50:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [12:50:00 12/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:50:00 12/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:50:00 12/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:50:00 12/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [12:50:00 12/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:50:00 12/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [13:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [13:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [13:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [14:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [14:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [14:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [14:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [13:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [14:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [14:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [13:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:25:00 12/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [16:25:00 12/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [16:25:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [16:25:00 12/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [16:25:00 12/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:25:00 12/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [16:25:00 12/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:25:00 12/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [16:25:00 12/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [16:25:00 12/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [16:25:00 12/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:25:00 12/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:25:00 12/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:25:00 12/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11.7 u1: cmH2O st: NotStopd t0: [16:25:00 12/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [16:25:00 12/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:25:00 12/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [16:25:00 12/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [16:25:00 12/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:25:00 12/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:25:00 12/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:25:00 12/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:25:00 12/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:25:00 12/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:25:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [16:25:00 12/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:25:00 12/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:25:00 12/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:25:00 12/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [16:25:00 12/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:25:00 12/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 8 mm st: NotStopd t0: [14:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [14:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Hand v2: On st: NotStopd t0: [14:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 12/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [15:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [15:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [15:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [16:00:00 12/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 12/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 12/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [16:00:00 12/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 12/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 12/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 12/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 12/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [16:00:00 12/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Hand v2: On st: NotStopd t0: [16:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [16:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [16:00:00 12/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 12/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.2778 u1: Deg. C st: NotStopd t0: [16:00:00 12/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.1 u1: Deg. F st: NotStopd t0: [16:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 12/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [17:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [17:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 12/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [17:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [17:00:00 12/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [17:00:00 12/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [17:00:00 12/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [17:00:00 12/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 12/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [17:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 74 u1: BPM st: NotStopd t0: [17:00:00 12/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [17:00:00 12/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [17:00:00 12/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 12/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 12/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 12/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 12/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [17:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 12/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [17:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 12/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 12/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 12/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [17:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [17:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [17:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [17:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [17:00:00 12/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [17:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [17:00:00 12/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 12/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 12/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [17:00:00 12/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [17:00:00 12/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [17:00:00 12/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [17:00:00 12/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [17:00:00 12/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [15:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [15:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [15:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [15:00:00 12/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 270 vu: ml t0: [16:00:00 12/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 150 vu: ml t0: [16:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [16:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [16:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [17:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [17:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [15:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:28:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [18:28:00 12/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 10 v2: Albuterol st: NotStopd t0: [18:28:00 12/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [18:28:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [18:28:00 12/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [18:28:00 12/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [18:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [18:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [18:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg st: NotStopd t0: [18:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [18:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [18:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [18:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:50:00 12/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [18:50:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [18:50:00 12/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [18:50:00 12/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:50:00 12/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [18:50:00 12/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [18:50:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [18:50:00 12/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [18:50:00 12/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [19:00:00 12/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 142 rs: Manual st: NotStopd
t0: [19:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [19:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [19:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 152 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [19:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [19:00:00 12/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [19:00:00 12/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [19:00:00 12/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [19:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:40:00 12/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [19:40:00 12/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [19:40:00 12/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [19:40:00 12/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [19:40:00 12/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [19:40:00 12/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [20:00:00 12/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 12/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 12/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 12/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 12/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [20:00:00 12/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 12/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [20:00:00 12/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 12/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 12/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [20:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 12/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 12/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 12/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [20:00:00 12/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 12/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 12/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 12/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 12/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 12/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 12/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 12/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [20:00:00 12/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 12/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 12/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 12/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 12/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 12/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 154 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 12/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 12/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 12/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 12/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 12/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 12/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 12/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [20:00:00 12/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 12/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 12/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 12/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 12/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [20:00:00 12/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 12/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 12/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 12/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [20:00:00 12/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 12/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [20:00:00 12/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [20:00:00 12/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 12/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [20:00:00 12/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [20:00:00 12/04/2015] tf: [14:38:00 16/04/2015] dt: 5438 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 vu: ml t0: [20:00:00 12/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 12/04/2015] tf: [14:38:00 16/04/2015] dt: 5438 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 15 vu: ml t0: [20:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [20:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [20:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [20:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [20:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [20:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 12/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 30 vu: ml
t0: [23:00:00 12/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 60 ap: none
t0: [19:41:00 12/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.4 u1: % rs: Final st: NotStopd
t0: [20:00:00 12/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.4136 u1: ml/cmH st: NotStopd t0: [20:00:00 12/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 12/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 12/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [20:00:00 12/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 12/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 12/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 12/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 32.9 u1: Deg. C st: NotStopd t0: [20:00:00 12/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 12/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [20:00:00 12/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 12/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 12/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 12/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 12/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.2 u1: L/min st: NotStopd t0: [20:00:00 12/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 12/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 75 u1: L/m st: NotStopd t0: [20:00:00 12/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.6 u1: cmH2O st: NotStopd t0: [20:00:00 12/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 12/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 12/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 3 u1: BPM st: NotStopd t0: [20:00:00 12/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [20:00:00 12/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 12/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [20:00:00 12/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 12/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 12/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 12/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 12/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 12/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [20:00:00 12/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 12/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 12/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd
t0: [21:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [21:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [21:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [21:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [21:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [21:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [21:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [21:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [21:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [21:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml nb: 1
t0: [22:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [22:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [22:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [22:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [22:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [22:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [22:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [22:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [22:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [22:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 12/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 12/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 12/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 12/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 12/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 54 u1: BPM st: NotStopd t0: [23:00:00 12/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [23:00:00 12/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 12/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 12/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 12/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [23:00:00 12/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [23:00:00 12/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 12/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [23:00:00 12/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [23:00:00 12/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml nb: 1 t0: [23:00:00 12/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [23:00:00 12/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [23:00:00 12/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [23:00:00 12/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 12/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 13/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [00:00:00 13/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 13/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 13/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [00:00:00 13/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 13/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [00:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 13/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 13/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 13/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [00:00:00 13/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 13/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 13/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 13/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 13/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 13/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 13/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 13/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 13/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 13/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 13/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 13/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 13/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 13/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [00:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 150 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 13/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 13/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 13/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 13/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 13/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 13/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 13/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [00:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [00:00:00 13/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [00:00:00 13/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [00:00:00 13/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 13/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 13/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 13/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Agitated st: NotStopd t0: [00:00:00 13/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 127 rs: Manual st: NotStopd t0: [00:00:00 13/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [00:00:00 13/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [00:00:00 13/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [00:00:00 13/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 13/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [00:00:00 13/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [00:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [00:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [00:00:00 13/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [00:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [00:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 13/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 50 cv: 50 ap: none t0: [23:00:00 13/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: -17 cv: -17 ap: none t0: [23:00:00 13/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 13 cv: 720 ap: none t0: [23:00:00 13/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 33 cv: 890 ap: none t0: [23:00:00 13/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 20 cv: 130 ap: none t0: [23:00:00 13/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1170 ap: none t0: [23:00:00 13/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -17 cv: -855 ap: none t0: [23:00:00 13/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1745 ap: none t0: [23:00:00 13/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: -17 cv: 22507.7 ap: carryForward
t0: [00:01:00 13/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [00:00:00 13/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.9149 u1: ml/cmH st: NotStopd t0: [00:00:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 13/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [00:00:00 13/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [00:00:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 13/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 13/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [00:00:00 13/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 13/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 13/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 13/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.2 u1: cmH2O st: NotStopd t0: [00:00:00 13/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.33 u1: L/min st: NotStopd t0: [00:00:00 13/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 13/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 75 u1: L/m st: NotStopd t0: [00:00:00 13/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.3 u1: cmH2O st: NotStopd t0: [00:00:00 13/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19.7 u1: cmH2O st: NotStopd t0: [00:00:00 13/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 13/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 13/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 13/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 13/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [00:00:00 13/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 13/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 13/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [00:00:00 13/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [00:00:00 13/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [01:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [01:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [01:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [01:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [01:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [01:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [01:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [01:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 20 vu: ml
t0: [01:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [02:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [02:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [02:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [02:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml nb: 1 t0: [02:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [02:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [02:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [02:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [03:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [03:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 15 vu: ml
t0: [03:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 13/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [04:00:00 13/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 13/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 13/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [04:00:00 13/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 13/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [04:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 13/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 13/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 13/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [04:00:00 13/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 13/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 13/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 13/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 13/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 13/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 13/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 13/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [04:00:00 13/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 13/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 13/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 13/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 13/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 13/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 13/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 13/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [04:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 168 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [04:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [04:00:00 13/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 13/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 13/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 13/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 13/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [04:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 13/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 13/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [04:00:00 13/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [04:00:00 13/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [04:00:00 13/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [04:00:00 13/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 13/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 13/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 13/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 13/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 13/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Positive st: NotStopd t0: [04:00:00 13/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [04:00:00 13/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 13/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [04:00:00 13/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [04:00:00 13/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 150 vu: ml t0: [04:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [04:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [04:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 13/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 30.9278 u1: ml/cmH st: NotStopd t0: [04:00:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 13/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [04:00:00 13/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:00:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [04:00:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 13/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [04:00:00 13/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 7 st: NotStopd t0: [04:00:00 13/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 13/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 13/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 13/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 13/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 14.8 u1: L/min st: NotStopd t0: [04:00:00 13/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 13/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 75 u1: L/m st: NotStopd t0: [04:00:00 13/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 26.9 u1: cmH2O st: NotStopd t0: [04:00:00 13/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 19.5 u1: cmH2O st: NotStopd t0: [04:00:00 13/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [04:00:00 13/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 9 u1: BPM st: NotStopd t0: [04:00:00 13/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 13/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 13/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 670 u1: ml/B st: NotStopd t0: [04:00:00 13/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 13/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [04:00:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 13/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [04:44:00 13/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [04:44:00 13/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:44:00 13/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [04:44:00 13/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [04:44:00 13/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [04:44:00 13/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [04:36:00 13/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.9 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.5 u1: % rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 447 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.32 u1: /mic l rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.9 rs: Final st: NotStopd
t0: [04:36:00 13/04/2015] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 11.5 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 24.8 rs: Final st: NotStopd
t0: [04:36:00 13/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 38 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd t0: [04:36:00 13/04/2015] id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd
t0: [05:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 76 u1: BPM st: NotStopd t0: [05:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 164 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [05:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [05:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [05:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [05:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [05:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.8 u1: torr st: NotStopd
t0: [06:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [06:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [06:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [06:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 13/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 134 rs: Manual st: NotStopd
t0: [06:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [06:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 13/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 275 vu: ml t0: [06:00:00 13/04/2015] id: Stool Out Stool el: 1 cu: MICU-A cg: -1 vo: 0 vu: ml t0: [06:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [06:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 13/04/2015] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: -1 cv: 0 ap: none
t0: [06:00:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [06:00:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [06:00:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [06:00:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [06:00:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [06:00:00 13/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [06:00:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [07:50:00 13/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [07:50:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [07:50:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [07:50:00 13/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [07:50:00 13/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [07:50:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [07:50:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 13/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [07:50:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [07:50:00 13/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [07:50:00 13/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:50:00 13/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [07:50:00 13/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [07:50:00 13/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.22 u1: cmH2O st: NotStopd t0: [07:50:00 13/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [07:50:00 13/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:50:00 13/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [07:50:00 13/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [07:50:00 13/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [07:50:00 13/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [07:50:00 13/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [07:50:00 13/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [07:50:00 13/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:50:00 13/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:50:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [07:50:00 13/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:50:00 13/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:50:00 13/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:50:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [07:50:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [07:50:00 13/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [07:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 13/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 13/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [08:00:00 13/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 13/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 13/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [08:00:00 13/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [08:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 13/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 13/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 13/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [08:00:00 13/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 13/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 13/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:00:00 13/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 13/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 13/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 13/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 13/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 13/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 13/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 13/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 151 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 13/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 13/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 13/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 13/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 13/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 13/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [08:00:00 13/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 13/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 13/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 13/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 13/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 13/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 13/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 13/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 13/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 13/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [08:00:00 13/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 13/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 13/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 13/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serosanguinous st: NotStopd t0: [08:00:00 13/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Changed st: NotStopd t0: [08:00:00 13/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [08:00:00 13/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [07:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [08:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [08:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [07:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 13/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 13/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [08:28:00 13/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [08:28:00 13/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.7864 u1: ml/dl st: NotStopd t0: [08:28:00 13/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [08:28:00 13/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [08:28:00 13/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [08:28:00 13/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [08:28:00 13/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [08:28:00 13/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [08:00:00 13/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 13/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 13/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 13/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 13/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [08:00:00 13/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 13/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 13/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 13/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 13/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 13/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 62 u1: BPM st: NotStopd t0: [09:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [09:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [10:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 54 u1: BPM st: NotStopd t0: [10:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd
t0: [10:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [10:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [10:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [10:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:15:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [10:15:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [10:15:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [10:15:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [10:15:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [10:15:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [10:15:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [10:15:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [10:00:00 13/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [10:00:00 13/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 13/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [10:00:00 13/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [11:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 13/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [11:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [11:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 13/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 13/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [11:00:00 13/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [11:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 13/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 13/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 13/04/2015] id: Radiologic Study el: 0 cu: MICU-A cg: -1 v1: Chest Xray st: NotStopd t0: [11:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 13/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 13/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [11:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:55:00 13/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [10:55:00 13/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.4545 u1: ml/dl st: NotStopd t0: [10:55:00 13/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [10:55:00 13/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [10:55:00 13/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [10:55:00 13/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [10:55:00 13/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [10:55:00 13/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 96 u1: % rs: Final st: NotStopd
t0: [12:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 13/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 13/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [12:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [12:00:00 13/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 13/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to MD st: NotStopd t0: [12:00:00 13/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 13/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [12:00:00 13/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [12:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 13/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 13/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 13/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 13/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 13/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 13/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [12:00:00 13/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 13/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 13/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 13/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 13/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 13/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 13/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [12:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 13/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 13/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:00:00 13/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 13/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 13/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 13/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 13/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 13/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 st: NotStopd t0: [12:00:00 13/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 13/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 13/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 13/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 13/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 13/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 13/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 13/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 13/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 13/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [12:00:00 13/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 13/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 13/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 13/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [12:00:00 13/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [12:00:00 13/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 13/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [12:00:00 13/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [12:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [12:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [12:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [12:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 13/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 13/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 13/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 118 rs: Manual st: NotStopd
t0: [12:45:00 13/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 24 u1: ml/cmH st: NotStopd t0: [12:45:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:45:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:45:00 13/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [12:45:00 13/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:45:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [12:45:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:45:00 13/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:45:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [12:45:00 13/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [12:45:00 13/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:45:00 13/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [12:45:00 13/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [12:45:00 13/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:45:00 13/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [12:45:00 13/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:45:00 13/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [12:45:00 13/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:45:00 13/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [12:45:00 13/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:45:00 13/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:45:00 13/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:45:00 13/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:45:00 13/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:45:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:45:00 13/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:45:00 13/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:45:00 13/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:45:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [12:45:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:45:00 13/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [13:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [13:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76.3333 u1: mmHg st: NotStopd t0: [13:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 142 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [13:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 13/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd
t0: [14:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [14:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 68 u1: BPM st: NotStopd t0: [14:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 115 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [14:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 98.3333 u1: mmHg st: NotStopd t0: [14:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 13/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 13/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 13/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 13/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 13/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [14:00:00 13/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [14:00:00 13/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 13/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 13/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 13/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd
t0: [15:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [15:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 141 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 80.3333 u1: mmHg st: NotStopd t0: [15:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [15:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:00:00 13/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd
t0: [14:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [14:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [14:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 175 vu: ml
t0: [15:30:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 13/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v2: Easily Palpable st: NotStopd t0: [16:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [16:00:00 13/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 13/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 13/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [16:00:00 13/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [16:00:00 13/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [16:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 13/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 13/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 13/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [16:00:00 13/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 13/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 13/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 13/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 13/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 13/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 13/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 13/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [16:00:00 13/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 13/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 13/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [16:00:00 13/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [16:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 108.667 u1: mmHg st: NotStopd t0: [16:00:00 13/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 13/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [16:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [16:00:00 13/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 13/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 13/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 13/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 90 u1: % st: NotStopd t0: [16:00:00 13/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thin st: NotStopd t0: [16:00:00 13/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 13/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 13/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 13/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 13/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 13/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 13/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 13/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 13/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 13/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 13/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 13/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 13/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [16:00:00 13/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 13/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 13/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 13/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [16:00:00 13/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [16:00:00 13/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 13/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [16:00:00 13/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [15:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [16:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7 vu: ml t0: [16:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7 vu: ml
t0: [16:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [16:45:00 13/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [16:45:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [16:45:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:45:00 13/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [16:45:00 13/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:45:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [16:45:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:45:00 13/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [16:45:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [16:45:00 13/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [16:45:00 13/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:45:00 13/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:45:00 13/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:45:00 13/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13.7 u1: cmH2O st: NotStopd t0: [16:45:00 13/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [16:45:00 13/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:45:00 13/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [16:45:00 13/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [16:45:00 13/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:45:00 13/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:45:00 13/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [16:45:00 13/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:45:00 13/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:45:00 13/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:45:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [16:45:00 13/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:45:00 13/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:45:00 13/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:45:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [16:45:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:45:00 13/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [17:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [17:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [17:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [17:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [17:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [17:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [17:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [17:00:00 13/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 300 vu: ml
t0: [17:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:05:00 13/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [17:05:00 13/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.1506 u1: ml/dl st: NotStopd t0: [17:05:00 13/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [17:05:00 13/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [17:05:00 13/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [17:05:00 13/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [17:05:00 13/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [17:05:00 13/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 94 u1: % rs: Final st: NotStopd
t0: [18:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [18:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [18:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [18:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [18:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 54.3333 u1: mmHg st: NotStopd t0: [18:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 91 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [18:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 48 u1: mmHg st: NotStopd t0: [18:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [18:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [18:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd
t0: [18:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [18:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [18:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [18:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:39:00 13/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [18:39:00 13/04/2015] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.7926 u1: ml/dl st: NotStopd t0: [18:39:00 13/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [18:39:00 13/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [18:39:00 13/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [18:39:00 13/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [18:39:00 13/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [18:39:00 13/04/2015] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [18:45:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 13/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 153 rs: Manual st: NotStopd
t0: [20:35:00 13/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.0769 u1: ml/cmH st: NotStopd t0: [20:35:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:35:00 13/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [20:35:00 13/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:35:00 13/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:35:00 13/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [20:35:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [20:35:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:35:00 13/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:35:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [20:35:00 13/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [20:35:00 13/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:35:00 13/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:35:00 13/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [20:35:00 13/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.5 u1: cmH2O st: NotStopd t0: [20:35:00 13/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [20:35:00 13/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:35:00 13/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [20:35:00 13/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [20:35:00 13/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:35:00 13/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:35:00 13/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:35:00 13/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:35:00 13/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:35:00 13/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:35:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [20:35:00 13/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [20:35:00 13/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:35:00 13/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:35:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [20:35:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:35:00 13/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 13/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 13/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 13/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 13/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 13/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [20:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [20:00:00 13/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [20:00:00 13/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 13/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [20:00:00 13/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 13/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 13/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [20:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [20:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [20:00:00 13/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 13/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [20:00:00 13/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 13/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 13/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 13/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 13/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 13/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [20:00:00 13/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 13/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [20:00:00 13/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 13/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 13/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 13/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 13/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 13/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 13/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [20:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.3333 u1: mmHg st: NotStopd t0: [20:00:00 13/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 13/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [20:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 13/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [20:00:00 13/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 13/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 13/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 13/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 13/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 13/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 13/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 13/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 13/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 13/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 13/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 13/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 13/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 13/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 13/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 13/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 13/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 13/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [20:00:00 13/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 13/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 13/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 13/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [20:00:00 13/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 13/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 13/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 13/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 13/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 13/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 13/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [20:00:00 13/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 13/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [20:00:00 13/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Sanguinous st: NotStopd t0: [20:00:00 13/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 13/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [20:00:00 13/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [21:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [21:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [21:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [21:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [21:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [21:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 13/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 40 vu: ml t0: [20:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [20:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [20:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [20:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [21:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [21:00:00 13/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [21:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml
t0: [20:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [21:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 13/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 40 ap: none
t0: [20:00:00 13/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 15 vu: ml
t0: [22:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [22:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [22:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 99 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [22:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [22:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [22:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [22:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [22:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [22:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [22:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 13/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 13/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 13/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 13/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [23:00:00 13/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [23:00:00 13/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [23:00:00 13/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [23:00:00 13/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [23:00:00 13/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 13/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [23:00:00 13/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 13/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 13/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [23:00:00 13/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [23:00:00 13/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 13/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [23:00:00 13/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml
t0: [23:00:00 13/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 13/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 14/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 22894.2 ap: carryForward
t0: [00:00:00 14/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 22.6415 u1: ml/cmH st: NotStopd t0: [00:00:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 14/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 14/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 14/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 35 u1: BPM st: NotStopd t0: [00:00:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [00:00:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [00:00:00 14/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34.2 u1: Deg. C st: NotStopd t0: [00:00:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [00:00:00 14/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 7 st: NotStopd t0: [00:00:00 14/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 14/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 14/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 14/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 15.9 u1: cmH2O st: NotStopd t0: [00:00:00 14/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 8.5 u1: L/min st: NotStopd t0: [00:00:00 14/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 14/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 75 u1: L/m st: NotStopd t0: [00:00:00 14/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 36.5 u1: cmH2O st: NotStopd t0: [00:00:00 14/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [00:00:00 14/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 0 u1: BPM st: NotStopd t0: [00:00:00 14/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [00:00:00 14/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [00:00:00 14/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 94 u1: % st: NotStopd t0: [00:00:00 14/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 14/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 14/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [00:00:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [00:00:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [00:00:00 14/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [00:00:00 14/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 14/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 13/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 13/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [00:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [00:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [00:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [00:00:00 14/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 14/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 14/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [00:00:00 14/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 14/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [00:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [00:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 14/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 14/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 14/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [00:00:00 14/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 14/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 14/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 14/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 14/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [00:00:00 14/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [00:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [00:00:00 14/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 14/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 14/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 14/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [00:00:00 14/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 14/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [00:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 14/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 14/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 14/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [00:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [00:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 14/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 14/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 14/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 14/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 14/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 14/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [00:00:00 14/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 138 rs: Manual st: NotStopd t0: [00:00:00 14/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [00:00:00 14/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 14/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 14/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 14/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 14/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Very Poor st: NotStopd t0: [00:00:00 14/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 11 u1: number st: NotStopd t0: [00:00:00 14/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 14/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [00:00:00 14/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 14/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [00:00:00 14/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [01:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [01:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [01:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [01:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [01:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [01:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [01:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [00:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [00:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml t0: [01:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [01:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml
t0: [00:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [01:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 14/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 30 u1: ml/cmH st: NotStopd t0: [03:00:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [03:00:00 14/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.7 u1: torr st: NotStopd t0: [03:00:00 14/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [03:00:00 14/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 35 u1: BPM st: NotStopd t0: [03:00:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [03:00:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [03:00:00 14/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34.2 u1: Deg. C st: NotStopd t0: [03:00:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [03:00:00 14/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 5 st: NotStopd t0: [03:00:00 14/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 14/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [03:00:00 14/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Atrovent st: NotStopd t0: [03:00:00 14/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 14.8 u1: cmH2O st: NotStopd t0: [03:00:00 14/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 8.3 u1: L/min st: NotStopd t0: [03:00:00 14/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 14/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 75 u1: L/m st: NotStopd t0: [03:00:00 14/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 30 u1: cmH2O st: NotStopd t0: [03:00:00 14/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [03:00:00 14/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 0 u1: BPM st: NotStopd t0: [03:00:00 14/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [03:00:00 14/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [03:00:00 14/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [03:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 95 u1: % st: NotStopd t0: [03:00:00 14/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 520 u1: ml/B st: NotStopd t0: [03:00:00 14/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 600 u1: ml/B st: NotStopd t0: [03:00:00 14/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [03:00:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [03:00:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [03:00:00 14/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [00:00:00 14/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [02:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [02:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [02:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [02:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [02:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 58.3333 u1: mmHg st: NotStopd t0: [02:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [02:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [02:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [02:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [03:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [03:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 57 u1: BPM st: NotStopd t0: [03:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69.6667 u1: mmHg st: NotStopd t0: [03:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [03:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [03:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [04:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [04:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [04:00:00 14/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 14/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 14/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [04:00:00 14/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 14/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [04:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 46 u1: BPM st: NotStopd t0: [04:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [04:00:00 14/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 14/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [04:00:00 14/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 14/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 14/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 14/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 14/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 14/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [04:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [04:00:00 14/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 14/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 14/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 14/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [04:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 53.6667 u1: mmHg st: NotStopd t0: [04:00:00 14/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 14/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [04:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [04:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [04:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 14/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 14/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 14/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 14/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 14/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 14/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [04:00:00 14/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 14/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [04:00:00 14/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 14/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [04:00:00 14/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [04:00:00 14/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 14/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 14/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [04:00:00 14/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 14/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Very Poor st: NotStopd t0: [04:00:00 14/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 10 u1: number st: NotStopd t0: [04:00:00 14/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 14/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [04:00:00 14/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [04:00:00 14/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 14/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [04:00:00 14/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [04:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12 vu: ml t0: [04:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [04:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12 vu: ml t0: [04:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 110 vu: ml
t0: [02:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [03:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:51:00 14/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18.9 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.9 u1: % rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 414 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.82 u1: /mic l rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18.9 rs: Final st: NotStopd
t0: [04:51:00 14/04/2015] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:51:00 14/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [05:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [05:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [05:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [05:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75.6667 u1: mmHg st: NotStopd t0: [05:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [06:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [06:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 44 u1: BPM st: NotStopd t0: [06:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [06:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [06:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.6667 u1: mmHg st: NotStopd t0: [06:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [06:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/04/2015] tf: [08:00:00 16/04/2015] dt: 3600 id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [21:00:00 13/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [22:00:00 13/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [23:00:00 13/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [01:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [02:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [03:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [04:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 30 vu: ml t0: [06:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [06:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [06:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [06:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [05:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 14/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 138 rs: Manual st: NotStopd
t0: [06:00:00 14/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 300 vu: ml
t0: [07:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [07:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [07:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [07:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [07:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 147 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 58 u1: BPM st: NotStopd t0: [08:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [08:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 79.3333 u1: mmHg st: NotStopd t0: [08:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 14/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 14/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 14/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 14/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 24 u1: ml/cmH st: NotStopd t0: [08:00:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 14/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 14/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 14/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 14/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.0 st: NotStopd t0: [08:00:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [08:00:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 14/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [08:00:00 14/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 14/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 14/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 14/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 14/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: cmH2O st: NotStopd t0: [08:00:00 14/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.34 u1: L/min st: NotStopd t0: [08:00:00 14/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 14/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [08:00:00 14/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 14/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 14/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 14/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 14/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 14/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 14/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 14/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [08:00:00 14/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 14/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [08:00:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 14/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [08:00:00 14/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 14/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 14/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [08:00:00 14/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 14/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 14/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 14/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [08:00:00 14/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 14/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 14/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:00:00 14/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 14/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 14/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [08:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 14/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 14/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 14/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 14/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 14/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [08:00:00 14/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 14/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 14/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 14/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 14/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 14/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 14/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Restless st: NotStopd t0: [08:00:00 14/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 14/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 14/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 14/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 14/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [08:00:00 14/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 14/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 14/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [08:00:00 14/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [08:00:00 14/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 14/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [08:00:00 14/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 14/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [08:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [08:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 150 vu: ml
t0: [09:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [09:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [09:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [09:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [09:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [10:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [10:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [10:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [10:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 14/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd
t0: [08:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [09:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [10:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [10:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [10:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [10:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml
t0: [10:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:14:00 14/04/2015] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [10:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [10:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [10:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [10:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [10:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 14/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 14/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd
t0: [10:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 125 vu: ml
t0: [11:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [11:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [11:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 133 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75.6667 u1: mmHg st: NotStopd t0: [11:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 14/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [11:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 14/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [11:00:00 14/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.3889 u1: Deg. C st: NotStopd t0: [11:00:00 14/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.5 u1: Deg. F st: NotStopd t0: [11:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [11:00:00 14/04/2015] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [11:00:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [11:00:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [11:00:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [11:00:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 14/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v2: Easily Palpable st: NotStopd t0: [12:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [12:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [12:00:00 14/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 14/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 14/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [12:00:00 14/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 14/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 47 u1: BPM st: NotStopd t0: [12:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 14/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 14/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 14/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 14/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 14/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 14/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [12:00:00 14/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 14/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 14/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 14/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 14/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 14/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 14/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [12:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62.3333 u1: mmHg st: NotStopd t0: [12:00:00 14/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [12:00:00 14/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [12:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 14/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 14/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 14/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 14/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 14/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 14/04/2015] id: Stool Color/Consist el: 0 cu: MICU-A cg: -1 v1: Brown v2: Loose st: NotStopd t0: [12:00:00 14/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 14/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd t0: [12:00:00 14/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [12:00:00 14/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 14/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 14/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 14/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [12:00:00 14/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 14/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 14/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 14/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [12:00:00 14/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [12:00:00 14/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 14/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [12:00:00 14/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [11:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml t0: [11:15:00 14/04/2015] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vu: ml nb: 1 t0: [12:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [12:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [12:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 40 vu: ml
t0: [12:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 14/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [12:00:00 14/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 14/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 14/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 123 rs: Manual st: NotStopd
t0: [12:00:00 14/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [12:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [11:15:00 14/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 24 u1: ml/cmH st: NotStopd t0: [11:15:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [11:15:00 14/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [11:15:00 14/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:15:00 14/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:15:00 14/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [11:15:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [11:15:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:15:00 14/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:15:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [11:15:00 14/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [11:15:00 14/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:15:00 14/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [11:15:00 14/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [11:15:00 14/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [11:15:00 14/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [11:15:00 14/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:15:00 14/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [11:15:00 14/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [11:15:00 14/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [11:15:00 14/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [11:15:00 14/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:15:00 14/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:15:00 14/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:15:00 14/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:15:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [11:15:00 14/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [11:15:00 14/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [11:15:00 14/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [11:15:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [11:15:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [11:15:00 14/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:11:00 14/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [12:11:00 14/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [12:11:00 14/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [12:11:00 14/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [12:11:00 14/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 70 u1: mmHg rs: Final st: NotStopd t0: [12:11:00 14/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [12:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [12:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [12:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [13:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 46 u1: BPM st: NotStopd t0: [13:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [13:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [13:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [13:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [14:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [14:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [14:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 44 u1: BPM st: NotStopd t0: [14:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [14:00:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [14:00:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [14:00:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [14:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [14:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [14:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 14/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [14:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [14:00:00 14/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [14:00:00 14/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [14:00:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [14:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd
t0: [09:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [11:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [12:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [13:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [14:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [14:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [14:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [14:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 80 vu: ml t0: [14:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [14:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [15:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 14/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [15:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [15:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 146 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 14/04/2015] id: Procedures el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [15:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [15:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [15:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/04/2015] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: -1 ai: 115 vo: 375 vu: ml t0: [15:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [15:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [15:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [15:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [15:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml
t0: [15:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 14/04/2015] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: -1 cv: 375 ap: none
t0: [15:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [15:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [15:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [15:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd
t0: [16:51:00 14/04/2015] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [16:51:00 14/04/2015] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 72.6 u1: kg t0: [16:51:00 14/04/2015] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [16:51:00 14/04/2015] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: RESPIRATORY FAILURE t0: [16:51:00 14/04/2015] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [16:51:00 14/04/2015] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [16:51:00 14/04/2015] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:51:00 14/04/2015] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [16:51:00 14/04/2015] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [16:51:00 14/04/2015] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:51:00 14/04/2015] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:51:00 14/04/2015] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:51:00 14/04/2015] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:58:00 14/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [16:58:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [16:58:00 14/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [16:58:00 14/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:58:00 14/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:58:00 14/04/2015] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.3 st: NotStopd t0: [16:58:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [16:58:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:58:00 14/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:58:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [16:58:00 14/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [16:58:00 14/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:58:00 14/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:58:00 14/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [16:58:00 14/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:58:00 14/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.16 u1: L/min st: NotStopd t0: [16:58:00 14/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:58:00 14/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [16:58:00 14/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [16:58:00 14/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [16:58:00 14/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:58:00 14/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:58:00 14/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:58:00 14/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:58:00 14/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:58:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [16:58:00 14/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White st: NotStopd t0: [16:58:00 14/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [16:58:00 14/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [16:58:00 14/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:58:00 14/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:58:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [16:58:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:58:00 14/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 14/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [16:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [16:00:00 14/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 14/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Conferenc st: NotStopd t0: [16:00:00 14/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 14/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Feeding/Peditube v2: Oral st: NotStopd t0: [16:00:00 14/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 14/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [16:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 14/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 14/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 14/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [16:00:00 14/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 14/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 14/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 14/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 14/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 14/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 14/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 14/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 14/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 14/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [16:00:00 14/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 148 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [16:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 14/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 14/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 14/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 14/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 14/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [16:00:00 14/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [16:00:00 14/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 14/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 14/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [16:00:00 14/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [16:00:00 14/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 14/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 14/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 14/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Restless st: NotStopd t0: [16:00:00 14/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 14/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 14/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 14/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 14/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [16:00:00 14/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 14/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 14/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 14/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [16:00:00 14/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [16:00:00 14/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 14/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [16:00:00 14/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [17:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [17:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69.6667 u1: mmHg st: NotStopd t0: [17:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 150 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [17:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [17:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [16:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [16:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [16:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 85 vu: ml
t0: [16:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [17:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 14/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [18:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [18:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [18:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [18:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:00:00 14/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [18:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [18:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [18:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [18:00:00 14/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [18:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 14/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 118 rs: Manual st: NotStopd
t0: [18:00:00 14/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [18:00:00 14/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [18:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [18:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [18:00:00 14/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: -1 vo: 350 vu: ml t0: [18:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [18:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [17:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [17:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [17:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [18:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 14/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 14/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [18:00:00 14/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [18:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 14/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 14/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [20:00:00 14/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 25.641 u1: ml/cmH st: NotStopd t0: [20:00:00 14/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 14/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 14/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 14/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 35 u1: BPM st: NotStopd t0: [20:00:00 14/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [20:00:00 14/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [20:00:00 14/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34.1 u1: Deg. C st: NotStopd t0: [20:00:00 14/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [20:00:00 14/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 5 st: NotStopd t0: [20:00:00 14/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 14/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 14/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 14/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 15.5 u1: cmH2O st: NotStopd t0: [20:00:00 14/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 7.7 u1: L/min st: NotStopd t0: [20:00:00 14/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 14/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 75 u1: L/m st: NotStopd t0: [20:00:00 14/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 33.4 u1: cmH2O st: NotStopd t0: [20:00:00 14/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [20:00:00 14/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 0 u1: BPM st: NotStopd t0: [20:00:00 14/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [20:00:00 14/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [20:00:00 14/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 97 u1: % st: NotStopd t0: [20:00:00 14/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 480 u1: ml/B st: NotStopd t0: [20:00:00 14/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 14/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [20:00:00 14/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [20:00:00 14/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [20:00:00 14/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
id: Fentanyl el: 202 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions am: 5000 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [19:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [19:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [19:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [19:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 51.6667 u1: mmHg st: NotStopd t0: [19:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [19:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 14/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 14/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [20:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 14/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [20:00:00 14/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 14/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 14/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Feeding/Peditube v2: Oral st: NotStopd t0: [20:00:00 14/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 14/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [20:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 14/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 14/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 7 st: NotStopd t0: [20:00:00 14/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 14/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 8 st: NotStopd t0: [20:00:00 14/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 14/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 14/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 14/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 14/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [20:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [20:00:00 14/04/2015] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [20:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [20:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 14/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 14/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 14/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 14/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [20:00:00 14/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [20:00:00 14/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [20:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 14/04/2015] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 14/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 14/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 14/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 14/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [20:00:00 14/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 14/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 14/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 14/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [20:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [20:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 14/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [19:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 14/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 14/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 920 ap: none t0: [23:00:00 14/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1570 ap: none
t0: [21:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [21:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [21:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 52.3333 u1: mmHg st: NotStopd t0: [21:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [22:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [22:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [22:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [22:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [22:00:00 14/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 14/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [22:00:00 14/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 14/04/2015] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [22:00:00 14/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml
t0: [21:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 14/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 14/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 631.5 ap: none t0: [23:00:00 14/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1956.5 ap: none t0: [23:00:00 14/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 950 ap: none t0: [23:00:00 14/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 386.5 ap: none
t0: [23:00:00 14/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 14/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 14/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 14/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 51 u1: BPM st: NotStopd t0: [23:00:00 14/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 14/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [23:00:00 14/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 14/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 14/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 14/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 14/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 14/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [00:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [00:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 15/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 15/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 15/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [00:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 128 vu: ml t0: [00:00:00 15/04/2015] tf: [14:38:00 16/04/2015] dt: 2318 id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 8 vu: ml
t0: [23:00:00 14/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 14/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:37:00 15/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: rrt v1: 21.4286 u1: ml/cmH st: NotStopd t0: [00:37:00 15/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [00:37:00 15/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: rrt v1: 0.7 u1: torr st: NotStopd t0: [00:37:00 15/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [00:37:00 15/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: rrt v1: 35 u1: BPM st: NotStopd t0: [00:37:00 15/04/2015] id: Airway Size el: 0 cu: MICU-A cg: rrt v1: 9.0 mm st: NotStopd t0: [00:37:00 15/04/2015] id: Airway Type el: 0 cu: MICU-A cg: rrt v1: Endotracheal st: NotStopd t0: [00:37:00 15/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: rrt v1: 34.2 u1: Deg. C st: NotStopd t0: [00:37:00 15/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: rrt v1: 2 v2: 22 st: NotStopd t0: [00:37:00 15/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: rrt v1: 5 st: NotStopd t0: [00:37:00 15/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:37:00 15/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Albuterol st: NotStopd t0: [00:37:00 15/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: rrt v1: 6 v2: Atrovent st: NotStopd t0: [00:37:00 15/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: rrt v1: 16 u1: cmH2O st: NotStopd t0: [00:37:00 15/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: rrt v1: 7.9 u1: L/min st: NotStopd t0: [00:37:00 15/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [00:37:00 15/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: rrt v1: 75 u1: L/m st: NotStopd t0: [00:37:00 15/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: rrt v1: 38 u1: cmH2O st: NotStopd t0: [00:37:00 15/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: rrt v1: Yes st: NotStopd t0: [00:37:00 15/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: rrt v1: 0 u1: BPM st: NotStopd t0: [00:37:00 15/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [00:37:00 15/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: rrt v1: 16 u1: BPM st: NotStopd t0: [00:37:00 15/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [00:37:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: rrt v1: 98 u1: % st: NotStopd t0: [00:37:00 15/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: rrt v1: White v2: Thick st: NotStopd t0: [00:37:00 15/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: rrt v1: Suctioned v2: Scant st: NotStopd t0: [00:37:00 15/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: rrt v1: 500 u1: ml/B st: NotStopd t0: [00:37:00 15/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: rrt v1: 600 u1: ml/B st: NotStopd t0: [00:37:00 15/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: rrt v1: Assist Control st: NotStopd t0: [00:37:00 15/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: rrt v1: 20 u1: # st: NotStopd t0: [00:37:00 15/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: rrt v1: 7200A st: NotStopd t0: [00:37:00 15/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: rrt v1: RAMP st: NotStopd
t0: [00:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [00:00:00 15/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 15/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 15/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Andersen v2: Oral st: NotStopd t0: [00:00:00 15/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 15/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 15/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 7 st: NotStopd t0: [00:00:00 15/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 15/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 8 st: NotStopd t0: [00:00:00 15/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 15/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 15/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Left Leg v2: On st: NotStopd t0: [00:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 15/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 15/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 137 rs: Manual st: NotStopd t0: [00:00:00 15/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 15/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 15/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [00:00:00 15/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 15/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 15/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd
t0: [01:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [01:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [01:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [01:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [02:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [02:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 8 vu: ml
t0: [01:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 48 u1: BPM st: NotStopd t0: [03:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [03:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [03:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [03:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:50:00 15/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [03:50:00 15/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [03:50:00 15/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [03:50:00 15/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [03:50:00 15/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [03:50:00 15/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [04:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [04:00:00 15/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 15/04/2015] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 15/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Andersen v2: Oral st: NotStopd t0: [04:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [04:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 15/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 15/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 15/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 7 st: NotStopd t0: [04:00:00 15/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 15/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 3 v2: 8 st: NotStopd t0: [04:00:00 15/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 15/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 15/04/2015] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 15/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/04/2015] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 15/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/04/2015] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 15/04/2015] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 15/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 15/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [04:00:00 15/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 15/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 15/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd
t0: [04:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [04:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 225 vu: ml t0: [04:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 8 vu: ml
t0: [04:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:48:00 15/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 22.8 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.9 u1: % rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 462 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.31 u1: /mic l rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 22.8 rs: Final st: NotStopd
t0: [04:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 15/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.4286 u1: ml/cmH st: NotStopd t0: [04:00:00 15/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 15/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 15/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 15/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 15/04/2015] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 9.0 mm st: NotStopd t0: [04:00:00 15/04/2015] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 15/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 15/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 2 v2: 22 st: NotStopd t0: [04:00:00 15/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 15/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 15/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 15/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 15/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 15/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [04:00:00 15/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 15/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 75 u1: L/m st: NotStopd t0: [04:00:00 15/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [04:00:00 15/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:00:00 15/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 15/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 15/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 15/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [04:00:00 15/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 15/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 15/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 15/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: RRT v1: 20 u1: # st: NotStopd t0: [04:00:00 15/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 15/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:48:00 15/04/2015] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 151 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [03:48:00 15/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [03:48:00 15/04/2015] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd
t0: [22:00:00 14/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [04:00:00 15/04/2015] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: RN v1: Right Leg v2: On st: NotStopd t0: [04:00:00 15/04/2015] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [05:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [05:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [06:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [06:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 15/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [06:00:00 15/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [06:00:00 15/04/2015] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [06:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 15/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [06:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [06:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 15/04/2015] id: pleural fluid el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [06:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [06:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 8 vu: ml
t0: [06:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:23:00 15/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [06:23:00 15/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [06:23:00 15/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 37 rs: Final st: NotStopd t0: [06:23:00 15/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [06:23:00 15/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [06:23:00 15/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [07:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [07:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 45 u1: BPM st: NotStopd t0: [07:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [07:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69.3333 u1: mmHg st: NotStopd t0: [07:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [07:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 15/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [08:00:00 15/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 15/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Andersen v2: Oral st: NotStopd t0: [08:00:00 15/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [08:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [08:00:00 15/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 15/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 15/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [08:00:00 15/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 15/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 15/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:00:00 15/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 15/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 15/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 15/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 15/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [08:00:00 15/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 15/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 15/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 15/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 153 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 81.6667 u1: mmHg st: NotStopd t0: [08:00:00 15/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [08:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 15/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 15/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 15/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 15/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [08:00:00 15/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 15/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 15/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 15/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 15/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 15/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 15/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 15/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Restless st: NotStopd t0: [08:00:00 15/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 15/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 15/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 15/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 15/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [08:00:00 15/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 15/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 15/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 15/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [08:00:00 15/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [08:00:00 15/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 15/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [08:00:00 15/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [08:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml t0: [08:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 8 vu: ml
t0: [07:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [08:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 15/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 15/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd
t0: [08:00:00 15/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [08:00:00 15/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 60 vu: ml
t0: [08:00:00 15/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 27.2727 u1: ml/cmH st: NotStopd t0: [08:00:00 15/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 15/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 15/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 15/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 15/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 15/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 15/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 15/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 15/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [08:00:00 15/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 15/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 15/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 15/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 15/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.4 u1: L/min st: NotStopd t0: [08:00:00 15/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 15/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 15/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 15/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 15/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 15/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 15/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 15/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 15/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 15/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [08:00:00 15/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 15/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 15/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 15/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 15/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [09:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 15/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Called st: NotStopd t0: [09:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [09:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [09:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [09:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [09:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 15/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to MD st: NotStopd t0: [10:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [10:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [10:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [10:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [10:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sleeping st: NotStopd
t0: [10:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [10:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16 vu: ml t0: [10:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [10:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml t0: [10:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 8 vu: ml
t0: [09:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [10:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 15/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 15/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 15/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [10:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [10:00:00 15/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 15/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 15/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd
t0: [10:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 15/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [10:00:00 15/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [11:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [11:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [11:00:00 15/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Conferenc st: NotStopd t0: [11:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 58 u1: BPM st: NotStopd t0: [11:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [11:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 157 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 86.3333 u1: mmHg st: NotStopd t0: [11:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [11:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [11:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [11:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 15/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [11:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [12:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 15/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [12:00:00 15/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 15/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 15/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Andersen v2: Oral st: NotStopd t0: [12:00:00 15/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [12:00:00 15/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 15/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [12:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 15/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 15/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [12:00:00 15/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [12:00:00 15/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 15/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 15/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [12:00:00 15/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 15/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [12:00:00 15/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [12:00:00 15/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 15/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 15/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 15/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 15/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 15/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 127 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 15/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 15/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [12:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [12:00:00 15/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 15/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 15/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 15/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 15/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [12:00:00 15/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [12:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 15/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [12:00:00 15/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [12:00:00 15/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 15/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 15/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [12:00:00 15/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 15/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 15/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 15/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 15/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 15/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [12:00:00 15/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 15/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 15/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 15/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [12:00:00 15/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [12:00:00 15/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 15/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [12:00:00 15/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [12:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [12:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16 vu: ml t0: [12:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [12:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml t0: [12:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 8 vu: ml
t0: [11:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [12:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:18:00 15/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 30 u1: ml/cmH st: NotStopd t0: [12:18:00 15/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:18:00 15/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [12:18:00 15/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:18:00 15/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:18:00 15/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [12:18:00 15/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:18:00 15/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [12:18:00 15/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [12:18:00 15/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [12:18:00 15/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:18:00 15/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [12:18:00 15/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [12:18:00 15/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [12:18:00 15/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [12:18:00 15/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:18:00 15/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [12:18:00 15/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [12:18:00 15/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:18:00 15/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:18:00 15/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:18:00 15/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:18:00 15/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:18:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [12:18:00 15/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [12:18:00 15/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [12:18:00 15/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:18:00 15/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [12:18:00 15/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:18:00 15/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 47 u1: BPM st: NotStopd t0: [13:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [13:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 15/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 15/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 15/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 123 rs: Manual st: NotStopd t0: [14:00:00 15/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [14:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [14:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [14:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 160 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 85.3333 u1: mmHg st: NotStopd t0: [14:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 78 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [14:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 15/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [14:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [14:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 16 vu: ml t0: [14:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [14:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 85 vu: ml t0: [14:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 8 vu: ml
t0: [14:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:35:00 15/04/2015] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [14:35:00 15/04/2015] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [14:35:00 15/04/2015] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [14:35:00 15/04/2015] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [14:35:00 15/04/2015] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [14:35:00 15/04/2015] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [14:35:00 15/04/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [14:35:00 15/04/2015] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [14:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:30:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 2.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [15:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [15:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 15/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [15:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [15:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 15/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 15/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [15:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 166 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [15:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 106.667 u1: mmHg st: NotStopd t0: [15:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [15:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 160 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [15:00:00 15/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 15/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [15:00:00 15/04/2015] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 15/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 15/04/2015] id: Back Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [15:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 15/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [16:00:00 15/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [16:00:00 15/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 15/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 15/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 15/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [16:00:00 15/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 15/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [16:00:00 15/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [16:00:00 15/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [16:00:00 15/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 15/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 15/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [16:00:00 15/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 15/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.6 u1: L/min st: NotStopd t0: [16:00:00 15/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 15/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [16:00:00 15/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:00:00 15/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 15/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 15/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 15/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 15/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 15/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 15/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 15/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [16:00:00 15/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 15/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [16:00:00 15/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [16:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 15/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [16:00:00 15/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 15/04/2015] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Fam Talked to MD st: NotStopd t0: [16:00:00 15/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 15/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Andersen v2: Oral st: NotStopd t0: [16:00:00 15/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 15/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [16:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 15/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 15/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 15/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [16:00:00 15/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 15/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 15/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 15/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 15/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 15/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 15/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 15/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 15/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 15/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 160 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [16:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 117.333 u1: mmHg st: NotStopd t0: [16:00:00 15/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 158 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 15/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 15/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 15/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 15/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 15/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 15/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 15/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 15/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 15/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 15/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 15/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 15/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 15/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 15/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 15/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 15/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Moist st: NotStopd t0: [16:00:00 15/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 15/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 15/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 15/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [16:00:00 15/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [16:00:00 15/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 15/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [16:00:00 15/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [15:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5.5 vu: ml t0: [16:00:00 15/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 25 vu: ml nb: 1 t0: [16:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 9.75 vu: ml t0: [16:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5.5 vu: ml t0: [16:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [16:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml t0: [16:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 8 vu: ml
t0: [16:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [17:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [17:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [17:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [17:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [17:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [17:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 22 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 22 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 22 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 15/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [18:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [18:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [18:00:00 15/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [18:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [18:00:00 15/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 15/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [18:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 113 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [18:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 15/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [18:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 15/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 15/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [18:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [18:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [18:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 15/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 118 rs: Manual st: NotStopd
t0: [18:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12 vu: ml t0: [18:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 11 vu: ml t0: [18:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [18:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml t0: [18:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml
t0: [18:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 22 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [18:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd
t0: [19:30:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [19:30:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [19:30:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:30:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:30:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [19:30:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [19:30:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 126 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:30:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [19:30:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [19:30:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [19:30:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:30:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:30:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [19:30:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:30:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:30:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 15/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 15/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [20:00:00 15/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 15/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 15/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [20:00:00 15/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 15/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [20:00:00 15/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 15/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 15/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 15/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 15/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 15/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [20:00:00 15/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 15/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 15/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 15/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 15/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 15/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [20:00:00 15/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 15/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [20:00:00 15/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 15/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 15/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [20:00:00 15/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 15/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 15/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 15/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 15/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [20:00:00 15/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 15/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 15/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 15/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 15/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 15/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 15/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [20:00:00 15/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 15/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 15/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 15/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 15/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 15/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 15/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 15/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 15/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 15/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 15/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [20:00:00 15/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 15/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [20:00:00 15/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [20:00:00 15/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 15/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [20:00:00 15/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [20:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [20:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [20:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [20:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 46 u1: BPM st: NotStopd t0: [20:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [20:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [20:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [20:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [20:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [20:00:00 15/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [20:00:00 15/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 15/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [20:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 5.5 vu: ml t0: [20:00:00 15/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 15/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml t0: [20:00:00 15/04/2015] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 153 vo: 50 vu: ml t0: [20:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 12 vu: ml t0: [20:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 9.5 vu: ml t0: [20:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 100 vu: ml t0: [20:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml
t0: [20:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 15/04/2015] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 110 ap: none
t0: [20:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [20:00:00 15/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 29.4118 u1: ml/cmH st: NotStopd t0: [20:00:00 15/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 15/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 15/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 15/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 15/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [20:00:00 15/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 15/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [20:00:00 15/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [20:00:00 15/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [20:00:00 15/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 15/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [20:00:00 15/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [20:00:00 15/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 15/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.13 u1: L/min st: NotStopd t0: [20:00:00 15/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 15/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [20:00:00 15/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 30.4 u1: cmH2O st: NotStopd t0: [20:00:00 15/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 23.5 u1: cmH2O st: NotStopd t0: [20:00:00 15/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [20:00:00 15/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 15/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 15/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 15/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 15/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 15/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 15/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 15/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [20:00:00 15/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 15/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [21:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [21:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [21:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [21:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [21:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [21:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [21:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [21:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [21:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 40mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [21:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [21:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml t0: [21:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [21:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [22:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [22:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [22:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [22:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [22:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [22:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [22:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [22:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 15/04/2015] tf: [14:38:00 16/04/2015] dt: 998 id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [22:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [22:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [22:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [22:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 15/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [23:00:00 15/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [23:00:00 15/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [23:00:00 15/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [23:00:00 15/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 47 u1: BPM st: NotStopd t0: [23:00:00 15/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 103 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [23:00:00 15/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 57.6667 u1: mmHg st: NotStopd t0: [23:00:00 15/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 110 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 15/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 15/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [23:00:00 15/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 15/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [23:00:00 15/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 15/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [23:00:00 15/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 15/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [23:00:00 15/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [23:00:00 15/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 32 vu: ml t0: [23:00:00 15/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [23:00:00 15/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 15/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 15/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 15/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 pv: 32 cv: 32 ap: none t0: [23:00:00 15/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: -1 pv: 45.8 cv: 45.8 ap: none t0: [23:00:00 15/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: -1 pv: 27.8 cv: 852.35 ap: none t0: [23:00:00 15/04/2015] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: -1 pv: 77.8 cv: 2212.35 ap: none t0: [23:00:00 15/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: -1 pv: 50 cv: 1250 ap: none t0: [23:00:00 15/04/2015] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 pv: 32 cv: 1060 ap: none t0: [23:00:00 15/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 45.8 cv: 952.35 ap: none t0: [23:00:00 15/04/2015] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 pv: 32 cv: 1260 ap: none t0: [23:00:00 15/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: -1 pv: 45.8 cv: 23846.5 ap: carryForward
t0: [22:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [23:00:00 15/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [00:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [00:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [00:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Occasional st: NotStopd t0: [00:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [00:00:00 16/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [00:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 16/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 16/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [00:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76.3333 u1: mmHg st: NotStopd t0: [00:00:00 16/04/2015] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Right Leg v2: On st: NotStopd t0: [00:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 143 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 16/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 16/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [00:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 16/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 16/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 151 rs: Manual st: NotStopd
t0: [00:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [00:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 16/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [00:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [00:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [00:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [00:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 16/04/2015] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: -1 cv: 0 ap: none t0: [23:00:00 16/04/2015] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: -1 cv: 0 ap: none t0: [23:00:00 16/04/2015] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: -1 cv: 527.3 ap: none t0: [23:00:00 16/04/2015] dt: 24 id: 24h Total In el: 2 cu: -1 cg: -1 cv: 927.3 ap: none t0: [23:00:00 16/04/2015] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: -1 cv: 400 ap: none t0: [23:00:00 16/04/2015] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: -1 cv: 325 ap: none t0: [23:00:00 16/04/2015] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: -1 cv: 602.3 ap: none t0: [23:00:00 16/04/2015] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: -1 cv: 325 ap: none t0: [23:00:00 16/04/2015] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: -1 cv: 24448.9 ap: carryForward
t0: [00:00:00 16/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 16/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 16/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [00:00:00 16/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [00:00:00 16/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [00:00:00 16/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 16/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 16/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 16/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [00:00:00 16/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [00:00:00 16/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 16/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 16/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 16/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 16/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 16/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 16/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 16/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 16/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [00:00:00 16/04/2015] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [00:00:00 16/04/2015] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 16/04/2015] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 16/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [00:00:00 16/04/2015] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 16/04/2015] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 16/04/2015] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 16/04/2015] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 16/04/2015] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 16/04/2015] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [00:00:00 16/04/2015] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd
t0: [00:00:00 16/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 34.4828 u1: ml/cmH st: NotStopd t0: [00:00:00 16/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 16/04/2015] id: ETT Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 16/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 16/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 16/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 6.0 mm st: NotStopd t0: [00:00:00 16/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [00:00:00 16/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [00:00:00 16/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [00:00:00 16/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [00:00:00 16/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 16/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 16/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 16/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14.8 u1: cmH2O st: NotStopd t0: [00:00:00 16/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [00:00:00 16/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 16/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 16/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 27.4 u1: cmH2O st: NotStopd t0: [00:00:00 16/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 22.6 u1: cmH2O st: NotStopd t0: [00:00:00 16/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [00:00:00 16/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 16/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 16/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 16/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 16/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 16/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 16/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 16/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [00:00:00 16/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 16/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [01:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [01:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [01:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PAC's st: NotStopd t0: [01:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [01:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [01:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 75.3333 u1: mmHg st: NotStopd t0: [01:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [01:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [01:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [01:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/04/2015] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 10 vu: ml t0: [01:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [01:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 16/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [01:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [01:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [01:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [01:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
id: Neosynephrine el: 101 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mg rt: IV Drip
t0: [02:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [02:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [02:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 50 u1: BPM st: NotStopd t0: [02:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [02:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 124 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [02:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 17 u1: BPM st: NotStopd t0: [02:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [02:00:00 16/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 16/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [02:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 16/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [02:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [02:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml t0: [02:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [02:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
id: .9% Normal Saline el: 1 cu: MICU-A cg: -1 io: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [03:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [03:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [03:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 53 u1: BPM st: NotStopd t0: [03:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [03:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 80.6667 u1: mmHg st: NotStopd t0: [03:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 131 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [03:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 16/04/2015] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 16/04/2015] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [03:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 16/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [03:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [03:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml t0: [03:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [03:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [04:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 16/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 47 u1: BPM st: NotStopd t0: [04:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [04:00:00 16/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 16/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Fair st: NotStopd t0: [04:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [04:00:00 16/04/2015] id: PT Splint Loc/Stat#1 el: 0 cu: MICU-A cg: -1 v1: Left Leg v2: On st: NotStopd t0: [04:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 16/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 16/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 16/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 16/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6 vu: ml t0: [04:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 16/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [04:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [04:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml t0: [04:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [04:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 6 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 16/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 16/04/2015] id: Range of Motion el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/04/2015] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [04:00:00 16/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 16/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 9 u1: points st: NotStopd t0: [04:00:00 16/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 16/04/2015] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Not Done st: NotStopd t0: [04:00:00 16/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 16/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [04:00:00 16/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [04:00:00 16/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 16/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 16/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 16/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [04:00:00 16/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 16/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 16/04/2015] id: Position Change el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/04/2015] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/04/2015] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/04/2015] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 16/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 16/04/2015] id: Restraint Type el: 0 cu: MICU-A cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 16/04/2015] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 16/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 16/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 16/04/2015] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [04:00:00 16/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/04/2015] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 16/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [04:00:00 16/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [04:00:00 16/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [04:00:00 16/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 16/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [04:00:00 16/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [04:30:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [04:30:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [04:30:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:30:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:30:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [04:30:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:30:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:30:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [04:30:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:30:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [04:30:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:30:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [04:30:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [04:30:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:30:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:30:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 7 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 16/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 50 vu: ml t0: [05:00:00 16/04/2015] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [05:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.5 vu: ml t0: [05:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 16/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 6.8 vu: ml t0: [05:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [05:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml t0: [05:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [05:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [05:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [05:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [05:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [05:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 7 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:30:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [05:30:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [05:30:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:30:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [05:30:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 54 u1: BPM st: NotStopd t0: [05:30:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [05:30:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [05:30:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 58.6667 u1: mmHg st: NotStopd t0: [05:30:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:30:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [05:30:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [05:30:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [05:30:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [05:30:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:30:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:30:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 7 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 16/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [05:00:00 16/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [05:00:00 16/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 16/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 16/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [05:00:00 16/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 6.0 mm st: NotStopd t0: [05:00:00 16/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 16/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [05:00:00 16/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [05:00:00 16/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [05:00:00 16/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 16/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [05:00:00 16/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [05:00:00 16/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 12.6 u1: cmH2O st: NotStopd t0: [05:00:00 16/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.2 u1: L/min st: NotStopd t0: [05:00:00 16/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 16/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [05:00:00 16/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 29.2 u1: cmH2O st: NotStopd t0: [05:00:00 16/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 24.3 u1: cmH2O st: NotStopd t0: [05:00:00 16/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [05:00:00 16/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [05:00:00 16/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 16/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 16/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 16/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 560 u1: ml/B st: NotStopd t0: [05:00:00 16/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 16/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 16/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [05:00:00 16/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [05:00:00 16/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [06:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [06:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [06:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 52 u1: BPM st: NotStopd t0: [06:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [06:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 107 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [06:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [06:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 15 u1: BPM st: NotStopd t0: [06:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [06:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7 vu: ml t0: [06:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 16/04/2015] id: .9% Normal Saline 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [06:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [06:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml t0: [06:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [06:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 7 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 16/04/2015] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 157 rs: Manual st: NotStopd
t0: [07:00:00 16/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd
t0: [07:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [07:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [07:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 47 u1: BPM st: NotStopd t0: [07:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [07:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 114 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [07:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [07:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [07:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7 vu: ml t0: [07:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 50 vu: ml t0: [07:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 5 vu: ml
t0: [07:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 7 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [08:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 49 u1: BPM st: NotStopd t0: [08:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [08:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [08:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 16/04/2015] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [08:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 250 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 7 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 16/04/2015] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 33.7079 u1: ml/cmH st: NotStopd t0: [08:00:00 16/04/2015] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 16/04/2015] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 16/04/2015] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:00:00 16/04/2015] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 16/04/2015] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 9.0 mm st: NotStopd t0: [08:00:00 16/04/2015] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 16/04/2015] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.4 u1: Deg. C st: NotStopd t0: [08:00:00 16/04/2015] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 2 v2: 22 st: NotStopd t0: [08:00:00 16/04/2015] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [08:00:00 16/04/2015] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 16/04/2015] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 16/04/2015] id: MDI #2 (Puff/Drug) el: 0 cu: MICU-A cg: -1 v1: 6 v2: Atrovent st: NotStopd t0: [08:00:00 16/04/2015] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.6 u1: cmH2O st: NotStopd t0: [08:00:00 16/04/2015] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8 u1: L/min st: NotStopd t0: [08:00:00 16/04/2015] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 16/04/2015] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 16/04/2015] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 27.8 u1: cmH2O st: NotStopd t0: [08:00:00 16/04/2015] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 25.6 u1: cmH2O st: NotStopd t0: [08:00:00 16/04/2015] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 16/04/2015] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 16/04/2015] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 16/04/2015] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 16/04/2015] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 16/04/2015] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [08:00:00 16/04/2015] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 16/04/2015] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 16/04/2015] id: Ventilator No. el: 0 cu: MICU-A cg: -1 v1: 20 u1: # st: NotStopd t0: [08:00:00 16/04/2015] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 16/04/2015] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:30:00 16/04/2015] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 v1: Medicated st: NotStopd t0: [08:30:00 16/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:30:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [08:30:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [08:30:00 16/04/2015] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:30:00 16/04/2015] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: -1 v1: General v2: 4 mm st: NotStopd t0: [08:30:00 16/04/2015] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:30:00 16/04/2015] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 10 u1: points st: NotStopd t0: [08:30:00 16/04/2015] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:30:00 16/04/2015] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [08:30:00 16/04/2015] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:30:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [08:30:00 16/04/2015] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:30:00 16/04/2015] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:30:00 16/04/2015] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 7 st: NotStopd t0: [08:30:00 16/04/2015] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 v1: Redness st: NotStopd t0: [08:30:00 16/04/2015] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:30:00 16/04/2015] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:30:00 16/04/2015] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:30:00 16/04/2015] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:30:00 16/04/2015] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Dampened st: NotStopd t0: [08:30:00 16/04/2015] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:30:00 16/04/2015] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:30:00 16/04/2015] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:30:00 16/04/2015] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:30:00 16/04/2015] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [08:30:00 16/04/2015] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:30:00 16/04/2015] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 16/04/2015] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:30:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 141 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:30:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [08:30:00 16/04/2015] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:30:00 16/04/2015] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:30:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:30:00 16/04/2015] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:30:00 16/04/2015] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:30:00 16/04/2015] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:30:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:30:00 16/04/2015] id: Restraint Location el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:30:00 16/04/2015] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:30:00 16/04/2015] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:30:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:30:00 16/04/2015] id: Therapeutic Bed el: 0 cu: MICU-A cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:30:00 16/04/2015] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:30:00 16/04/2015] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [08:30:00 16/04/2015] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:30:00 16/04/2015] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:30:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:30:00 16/04/2015] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Hypoactive st: NotStopd t0: [08:30:00 16/04/2015] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [08:30:00 16/04/2015] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd t0: [08:30:00 16/04/2015] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:30:00 16/04/2015] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Positive st: NotStopd t0: [08:30:00 16/04/2015] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd
t0: [08:30:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 350 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 9 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [09:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [09:00:00 16/04/2015] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 16/04/2015] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [09:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [09:00:00 16/04/2015] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 16/04/2015] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [09:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 350 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 10 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [10:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [10:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 91 u1: BPM st: NotStopd t0: [10:00:00 16/04/2015] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 16/04/2015] id: NBP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 16/04/2015] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 63.6667 u1: mmHg st: NotStopd t0: [10:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 350 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 10 du: mghr sv: 60 su: ml rt: IV Drip
id: Morphine Sulfate el: 100 cu: MICU-A cg: -1 io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions am: 100 du: mghr rt: IV Drip
io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ra: 4 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [13:00:00 16/04/2015] id: Pain Present el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [13:00:00 16/04/2015] id: Service Type el: 0 cu: MICU-A cg: -1 v1: MICU st: NotStopd t0: [13:00:00 16/04/2015] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Do Not Resuscita st: NotStopd t0: [13:00:00 16/04/2015] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 44 u1: BPM st: NotStopd t0: [13:00:00 16/04/2015] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [13:00:00 16/04/2015] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 16/04/2015] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 16/04/2015] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 61 u1: % st: NotStopd t0: [13:00:00 16/04/2015] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 16/04/2015] id: Respalor Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vu: ml st: Stopped t0: [13:00:00 16/04/2015] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 55 vu: ml t0: [13:00:00 16/04/2015] tf: [14:38:00 16/04/2015] dt: 98 id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 171 vo: 4 vu: ml t0: [13:00:00 16/04/2015] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 60 vu: ml t0: [13:00:00 16/04/2015] id: .9% Normal Saline 100.0ml + 5000mcghr Fentanyl IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 39 vu: ml
t0: [13:00:00 16/04/2015] id: Fentanyl el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 650 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 16/04/2015] tf: [14:38:00 16/04/2015] dt: 98 id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 16/04/2015] id: Neosynephrine el: 1 cu: MICU-A so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 16/04/2015] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 27 du: mghr sv: 60 su: ml rt: IV Drip